Kizito Lotachukwu Mbaekwe, is a
Registered Nurse based in Champions Gate, Florida. Kizito Lotachukwu Mbaekwe is licensed to practice in Florida (license number RN9589560) and his current practice location is
307 Nine Iron Dr, Champions Gate, Florida. He can be reached at his office (for appointments etc.) via phone at
(561) 633-6392.
NPI number for Kizito Lotachukwu Mbaekwe is 1295668796 and his current mailing address is 2033 Se Lennard Rd Apt 209, Port Saint Lucie, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295668796.
Provider's Profile
| Full Name | Kizito Lotachukwu Mbaekwe |
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| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 307 Nine Iron Dr, Champions Gate, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295668796
- Provider Enumeration Date: 06/04/2026
- Last Update Date: 06/04/2026
Medical Identifiers
Medical identifiers for Kizito Lotachukwu Mbaekwe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295668796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN9589560 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kizito Lotachukwu Mbaekwe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kizito Lotachukwu Mbaekwe,
2033 Se Lennard Rd Apt 209,
Port Saint Lucie, FL 34952-4748
Ph: (561) 633-6392 | Kizito Lotachukwu Mbaekwe,
307 Nine Iron Dr,
Champions Gate, FL 33896-8025
Ph: (561) 633-6392 |
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