Provider Demographics
NPI:1023427689
Name:OCHIENG-KIZIA, FLORENCE
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:OCHIENG-KIZIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:OCHIENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10739 DEERWOOD PARK BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-4839
Mailing Address - Country:US
Mailing Address - Phone:800-793-7050
Mailing Address - Fax:866-509-6155
Practice Address - Street 1:10739 DEERWOOD PARK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-4839
Practice Address - Country:US
Practice Address - Phone:800-793-7050
Practice Address - Fax:866-509-6155
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002876363LF0000X
NYF338822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily