Provider Demographics
NPI:1952915563
Name:NGOZI GLOBAL HEALTHCARE LLC
Entity Type:Organization
Organization Name:NGOZI GLOBAL HEALTHCARE LLC
Other - Org Name:NGOZI GLOBAL HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHD, APRN, AGNP, ANP-BC
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:ODOH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, APRN
Authorized Official - Phone:407-754-6710
Mailing Address - Street 1:626 EASTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7304
Mailing Address - Country:US
Mailing Address - Phone:407-707-5792
Mailing Address - Fax:
Practice Address - Street 1:2750 TAYLOR AVE STE A-59
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4474
Practice Address - Country:US
Practice Address - Phone:407-707-5792
Practice Address - Fax:407-307-2992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1952915563OtherGROUP NPI