Most Relevant Information
Provider Data
| NPI Number: | 1003352535 |
| Provider Name: | CECILIA IFEOMA IBE ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP 9251837 |
Most Important Dates
| Enumeration Date: | 01/08/2017 |
| Last Updated: | 05/03/2018 |
Provider Practice Location
23916 NW 83RD AVENUE
RAIFORD
FL
320262648
Practice Location Phone/Fax
| Phone: | 9043682500 |
| Fax: |
Provider Mailing Location
23916 NW 83RD AVE FL 32026
RAIFORD
FL
320831003
Provider Mailing Phone/Fax
| Phone: | 9043682500 |
| Fax: |