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Contact Information

BONIFACE U NDUBISI, MD
2964 N STATE ROAD 7
STE 100
MARGATE, FL33063-5755
 Phone: 954-974-5190
 Fax: 954-974-0743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BONIFACE U NDUBISI · (Male)

NPI # 1730189697
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 10/21/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME65086
  • FL Medicaid 262018900
  • Other 18916 BCBS
Hospital affiliation(s)
  • BROWARD HEALTH CORAL SPRINGS - (Acute Care)
    3000 CORAL HILLS DR
    CORAL SPRINGS, FL 33065
  • NORTHWEST MEDICAL CENTER - (Acute Care)
    2801 N STATE RD 7
    MARGATE, FL 33063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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