Uced Pllc | |
312 S Lake St Leesburg FL 34748-5920 | |
(973) 204-4727 | |
Not Available |
Full Name | Uced Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 312 S Lake St, Leesburg, Florida |
Authorized Official Name and Position | Arthur E Nwaubani (OWNER) |
Authorized Official Contact | 9732044727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Uced Pllc Po Box 490950 Leesburg FL 34749-0950 Ph: (973) 204-4727 | Uced Pllc 312 S Lake St Leesburg FL 34748-5920 Ph: (973) 204-4727 |
NPI Number | 1144663162 |
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Provider Enumeration Date | 04/09/2013 |
Last Update Date | 04/09/2013 |
Medicare PECOS PAC ID | 5890910244 |
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Medicare Enrollment ID | O20140627001334 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144663162 | NPI | - | NPPES |
Provider Name | Arthur E Nwaubani |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1679748107 PECOS PAC ID: 5799900148 Enrollment ID: I20140627001417 |
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