Dr Chuka Godwin Enebeli, MD | |
2859 Red Lion Sq, Winter Park, FL 32792-1039 | |
(305) 731-1144 | |
Not Available |
Full Name | Dr Chuka Godwin Enebeli |
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Gender | Male |
Speciality | General Practice |
Location | 2859 Red Lion Sq, Winter Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356705677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 019299 (Puerto Rico) | Secondary |
208D00000X | General Practice | 019299 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN979 (Florida) | Primary |
Entity Name | Main Street Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487079505 PECOS PAC ID: 6709112832 Enrollment ID: O20190729000315 |
Entity Name | Carespan Medpsych Network Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376000992 PECOS PAC ID: 3274964952 Enrollment ID: O20200513000924 |
Mailing Address | Practice Location Address |
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Dr Chuka Godwin Enebeli, MD 2859 Red Lion Sq, Winter Park, FL 32792-1039 Ph: (305) 731-1144 | Dr Chuka Godwin Enebeli, MD 2859 Red Lion Sq, Winter Park, FL 32792-1039 Ph: (305) 731-1144 |
Maria Mireya Nunez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 120 Benmore Dr, Winter Park, FL 32792 Phone: 407-645-5998 | |
Pamela C Trout, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 201 N Lakemont Ave, Suite 200, Winter Park, FL 32792 Phone: 321-203-4410 Fax: 321-203-4409 | |
Harry Ramsamooj, MD General Practice Medicare: Medicare Enrolled Practice Location: 133 Benmore Dr Ste 201, Winter Park, FL 32792 Phone: 407-646-7070 | |
Dr. Richard W Anderson Jr., MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1 Purlieu Place, Suite 131, Winter Park, FL 32792 Phone: 407-740-7554 Fax: 407-740-7751 | |
Jeffrey A Mueller, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1201 Louisiana Ave, Suite E, Winter Park, FL 32789 Phone: 407-644-2990 Fax: 407-644-4370 | |
Dr. Marina Pizarro, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 147 E Lyman Ave, Suite D, Winter Park, FL 32789 Phone: 407-296-6226 Fax: 407-351-1292 |