Provider Demographics
NPI:1841447091
Name:UMEH, IFEYINWA NWANDO (MD)
Entity type:Individual
Prefix:MRS
First Name:IFEYINWA
Middle Name:NWANDO
Last Name:UMEH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:801 WEST OAK STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-6614
Mailing Address - Country:US
Mailing Address - Phone:407-846-3455
Mailing Address - Fax:407-846-3670
Practice Address - Street 1:15528 W COLONIAL DR UNIT B
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9577
Practice Address - Country:US
Practice Address - Phone:321-900-0620
Practice Address - Fax:321-900-0630
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME102177208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001151600Medicaid