Ima Ebongo, FNP
NPI #1992341523 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1992341523
- Entity Type
- Individual
- Name
- Ima Ebongo, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Nov 19, 2019
- Last Updated
- Nov 19, 2019
Practice Location
- Address
- 300 NW 183RD ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-4464
- Phone
- (305) 999-0520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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