Provider Demographics
NPI:1417249319
Name:ABONGWA, CHENUE (MD)
Entity Type:Individual
Prefix:
First Name:CHENUE
Middle Name:
Last Name:ABONGWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N ORANGE AVE STE 589
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4647
Mailing Address - Country:US
Mailing Address - Phone:407-303-2080
Mailing Address - Fax:407-303-2085
Practice Address - Street 1:2501 N ORANGE AVE STE 589
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4647
Practice Address - Country:US
Practice Address - Phone:407-303-2080
Practice Address - Fax:407-303-2085
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01069572A2080P0207X
FLME1540682080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology