Provider Demographics
NPI:1750944641
Name:UFOEGBUNE, PRINCESS CYNTHIA NNEAMAKA (MD)
Entity type:Individual
Prefix:DR
First Name:PRINCESS
Middle Name:CYNTHIA NNEAMAKA
Last Name:UFOEGBUNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PRINCESS
Other - Middle Name:CYNTHIA NNEAMAKA
Other - Last Name:OMENYI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 919771
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-0001
Mailing Address - Country:US
Mailing Address - Phone:239-278-3600
Mailing Address - Fax:239-479-5202
Practice Address - Street 1:19701 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4818
Practice Address - Country:US
Practice Address - Phone:393-141-6002
Practice Address - Fax:239-425-6402
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME153726207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program