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Ima Ebongo, FNP
Family Nurse Practitioner in Miami Gardens, Florida
NPI 1992341523

Ima Ebongo is a Family Nurse Practitioner based in Miami Gardens, FL and is specialized in Family. Ima Ebongo practices in Miami Gardens, FL and has the professional credentials of FNP. The NPI Number for Ima Ebongo is 1992341523 and holds a License No. APRN11001398 (Florida).

The current practice location address for Ima Ebongo is 300 Nw 183Rd St, Miami Gardens, FL and can be reached out via phone at 305-999-0520.

Location: 300 Nw 183Rd St, Miami Gardens, FL, 33169-4464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992341523
Provider Name
Ima Ebongo
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
300 Nw 183Rd St, Miami Gardens, FL, 33169-4464
Phone Number
305-999-0520
Fax Number
Provider Enumeration Date
11/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Nw 183Rd St
City
Miami Gardens
State
Florida
Zip
33169-4464
Phone Number
305-999-0520
Fax Number
person
Provider Business Mailing Address Details
Address
300 Nw 183Rd St
City
Miami Gardens
State
Florida
Zip
33169-4464
Phone Number
305-999-0520
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11001398 (Florida)
Definition
Definition to come...
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