Ukonu O Ejie (NPI# 1790761500, PAC ID# 5395759880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1790761500 |
| PAC ID by PECOS | 5395759880 |
| Professional Enrollment ID | I20060207000162 |
| Full Name | Ukonu O Ejie |
| Organization Legal Name | INFECTIOUS DISEASES OF MID FLORIDA PA |
| Address |
104 Lacosta Ln Suite 120 Daytona Beach FL 32114-8160 |
| Phone Number | 3862741966 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 9032123526 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100118 | FLORIDA HOSPITAL FLAGLER |
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| Address | Phone | Organization |
|---|---|---|
| 104 Lacosta Ln, Suite 120, Daytona Beach, FL 32114-8160 | 3862741966 | INFECTIOUS DISEASES OF MID FLORIDA PA |
| Organization Legal Name | INFECTIOUS DISEASES OF MID FLORIDA PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Bryan Ukawuilulu | Nurse Practitioner | Infectious Diseases of Mid Florida Pa | 104 Lacosta Ln, Suite 120, Daytona Beach, FL 32114-8160 |
| Ronald S Rusiecki | Infectious Disease | Infectious Diseases of Mid Florida Pa | 104 Lacosta Ln, Suite 120, Daytona Beach, FL 32114-8160 |
| Street Address |
104 LACOSTA LN SUITE 120 |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32114-8160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Bryan Ukawuilulu | Nurse Practitioner | Infectious Diseases of Mid Florida Pa | 104 Lacosta Ln, Suite 120, Daytona Beach, FL 32114-8160 |
| Ronald S Rusiecki | Infectious Disease | Infectious Diseases of Mid Florida Pa | 104 Lacosta Ln, Suite 120, Daytona Beach, FL 32114-8160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Gunter | Optometry | Gulf Coast Optometry Pa | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 |
| Kyle J Bettis | Optometry | Gulf Coast Optometry Pa | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 |
| James W Weaver | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 |
| Robert B Leb | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 |
| Katherine Rogers | Nurse Practitioner | Can Community Health, Inc. | 1435 Dunn Ave, Suite 101, Daytona Beach, FL 32114-1434 |
| Charles Harrelson Moss | Nurse Practitioner | Can Community Health, Inc. | 1435 Dunn Ave, Suite 101, Daytona Beach, FL 32114-1434 |
| Holly Anne Smith | Nurse Practitioner | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Michelle K Kessler | Nurse Practitioner | Rural Health Care Incorporated | 1455 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Muhammad I Usmani | Family Medicine | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Francis X Decandis | Family Medicine | Rural Health Care Incorporated | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 |
| Find all physicians in zip 32114 | |||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DAYTONA BEACH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ukonu O Ejie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.