Most Relevant Information
Provider Data
NPI Number: | 1003260019 |
Provider Name: | IFEANYI VICTOR NWADUKWE M.D |
Entity Type: | Individual |
Taxonomy Code: | 207ZP0102X |
Specialty: | Pathology |
License Number: | 37640 |
Most Important Dates
Enumeration Date: | 04/15/2016 |
Last Updated: | 11/29/2023 |
Provider Practice Location
5481 W WATERS AVE STE 111
TAMPA
FL
336341256
Practice Location Phone/Fax
Phone: | 8135774686 |
Fax: |
Provider Mailing Location
5481 W WATERS AVE STE 111
TAMPA
FL
336341256
Provider Mailing Phone/Fax
Phone: | 8135774686 |
Fax: | 8135774694 |