Provider Demographics
NPI:1356055453
Name:OKONKWO CARE PEDIATRICS LLC
Entity type:Organization
Organization Name:OKONKWO CARE PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:OKONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-295-3408
Mailing Address - Street 1:5582 NE 4TH CT STE 9
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-2697
Mailing Address - Country:US
Mailing Address - Phone:786-460-2046
Mailing Address - Fax:786-558-0220
Practice Address - Street 1:5582 NE 4TH CT STE 9
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-2697
Practice Address - Country:US
Practice Address - Phone:786-460-2046
Practice Address - Fax:786-558-0220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty