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Contact Information

NGOZI K EZEUDE, DPM
855 S HIGHLAND AVE
CLEARWATER, FL33756
 Phone: 727-219-1833
 Fax: 727-330-2908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NGOZI K EZEUDE · (Female)

NPI # 1902046881
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/04/2009
Last updated 10/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO3610
  • FL Medicaid 15159100
Hospital affiliation(s) Not Available
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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