OKOROAFOR NDUKA MADUAGWU (NPI# 1588058325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588058325 |
| Entity Type | Individual |
| Full Name | OKOROAFOR NDUKA MADUAGWU |
| Credential | M.D. |
| Practice Address |
135 E 1st St Lakeland FL 33805-4609 |
| Mailing Address |
2600 S Douglas Rd Ste 308 Coral Gables FL 33134-6134 |
| Practice Telephone | 8636862728 |
| Practice Fax Number | 8636866737 |
| Mailing Telephone | 8139008574 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN 686 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 19022 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
135 E 1ST ST |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273473 | Raysa Mena-perez | Internal Medicine | 135 E 1st St, Lakeland, FL 33805-4609 | 2005-08-29 |
| 1396363883 | Duniesky Cabrera Diaz | Registered Nurse | 135 E 1st St, Lakeland, FL 33805-4609 | 2020-07-10 |
| 1437650579 | Palm Medical Center Lakeland, LLC | Clinic/Center | 135 E 1st St, Lakeland, FL 33805-4609 | 2018-02-23 |
| 1477933984 | Kelechi Esoga | General Practice | 135 E 1st St, Lakeland, FL 33805-4609 | 2015-06-01 |
| 1992079867 | Pablo Lam | Internal Medicine | 135 E 1st St, Lakeland, FL 33805-4609 | 2012-02-24 |
| 1588942320 | Amit Kakde | Internal Medicine | 135 E 1st St, Lakeland, FL 33805-4609 | 2011-07-27 |
| 1760708713 | Parkview Medical Group, LLC | Clinic/Center | 135 E 1st St, Lakeland, FL 33805-4609 | 2010-04-15 |
| 1972837201 | Francis A Vallor | Physician Assistant | 135 E 1st St, Lakeland, FL 33805-4609 | 2009-09-18 |
| 1225295728 | Zaw Myint | Family Medicine | 135 E 1st St, Lakeland, FL 33805-4609 | 2008-05-21 |
| 1457336182 | Jay Care Medical Center, Inc. | Clinic/Center | 135 E 1st St, Lakeland, FL 33805-4609 | 2005-12-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517840 | Kecia Howell | General Practice | 7433 Us Highway 98 N, Lakeland, FL 33809-2140 | 2020-04-20 |
| 1114393469 | Lakeland Regional Health Systems, Inc. | General Practice | 811 S Lakeside Ave, Lakeland, FL 33815-4771 | 2015-08-20 |
| 1700213972 | Wendell O Blake Md Pa | General Practice | 505 Martin Luther King Jr Avenue, Suite 2, Lakeland, FL 33815-1527 | 2013-10-03 |
| 1649572249 | Lysmar Carrion Dinguis | General Practice | 4725 Us Highway 98 S Ste 101, Lakeland, FL 33812-4334 | 2010-12-02 |
| 1891945580 | Luis J. Velazquez Vicente | General Practice | 4120 Us Highway 98 N, Suite 200, Lakeland, FL 33809-3854 | 2008-09-30 |
| 1225227051 | Lenny Tua Mendez | General Practice | 4725 Us Highway 98 S Ste 102, Lakeland, FL 33812-4334 | 2007-10-17 |
| 1841344454 | Evans Salomon Mercier | General Practice | 5020 Williamstown Blvd, Lakeland, FL 33810-3707 | 2007-01-22 |
| 1174690358 | Prudencio P Aqui | General Practice | 2133 S Combee Rd, Sterling Square, Lakeland, FL 33801 | 2006-11-30 |
| 1225134745 | Esther Echevarria | General Practice | 3810 S Florida Ave, Lakeland, FL 33813-1105 | 2006-09-15 |
| 1164539870 | Luis Garcia Rivera | General Practice | 5425 S Florida Ave, Lakeland, FL 33813 | 2006-08-25 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.