Individual provider · Type 1 NPI

Munachiso Egbo, MD

Student in an Organized Health Care Education/Training Program · Orange Park, FL

NPI number 1700646122 Active

Practice location

2001 Kingsley Ave.
Orange Park, FL 32073

Call (904) 639-2005 Map

Fax (904) 639-2015

Mailing address

2021 Professional Center Drive, Suite 100
Orange Park, FL 32073

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700646122

Munachiso Egbo, MD's National Provider Identifier is 1700646122, issued on Mar 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange Park, FL. The record was last updated on Oct 21, 2024.