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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JIDEOFOR EBONY OBODOZIE, MD

Active

MR. JIDEOFOR EBONY OBODOZIE, MD is a Critical Care Medicine healthcare provider located in DAYTONA BEACH, Florida. NPI 1124517289 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · DAYTONA BEACH, FL

Registration Details

NPI Number
1124517289
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2018 (8.2942079242812 yrs)
Last Updated
Jun 9, 2024
Licenses
2021048898 (MO)
ME165936 (FL)

Practice Information

Address
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL, 321175167
Browse FL providers · Browse ZIP 32117
Phone
3862316000
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Critical Care Medicine

Other Critical Care Medicine Providers in DAYTONA BEACH, FL

Name Credential NPI
SINOJ K JOHN MD 1215970918
DR. CLAUDINA A BONILLA M.D. 1467497792
LOUIS MICHAEL BIGA MD 1437162419
MR. VICTOR M. ORTEGA-JIMENEZ MD 1871673392
CHERYL MARIE MOSES M.D. 1033234109
MICHAEL E WILSON MD 1932432002
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.