EMMA BERNICE OHAEGBULAM


Address: 508 N Maryland Ave, Plant City Family Care, Plant City, FL 33563
Phone: 8133497600

EMMA BERNICE OHAEGBULAM (NPI# 1073536942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073536942
Entity Type Individual
Full Name EMMA BERNICE OHAEGBULAM
Other Name EMMA BOLDEN
Credential CNM ARNP
Practice Address 508 N Maryland Ave
Plant City Family Care
Plant City
FL 33563
Mailing Address 13110 Elk Mountain Dr
Riverview
FL 33579-7182
Practice Telephone 8133497600
Practice Fax Number 8133497561
Mailing Telephone 8133497568
Mailing Fax Number 8133497561
Enumeration Date 2006-07-25
Last Update Date 2012-02-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
ARNP673682 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 033159700 05

Office Location

Street Address 508 N MARYLAND AVE
PLANT CITY FAMILY CARE
City PLANT CITY
State FL
Zip Code 33563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073519245 Carol S. Thompson Advanced Practice Midwife 508 N Maryland Ave, Plant City, FL 33563-3820 2005-06-22
1770992117 Maria Helena Brachowicz Dentist 508 N Maryland Ave, Plant City, FL 33563-3820 2014-08-11
1578994497 Jennifer L Walkinshaw Nurse Practitioner 508 N Maryland Ave, Plant City, FL 33563-3820 2013-12-02
1386996742 Guadalupe Lamas Nurse Practitioner 508 N Maryland Ave, Plant City, FL 33563-3820 2012-10-10
1912273285 Suncoast Community Health Centers Inc Pharmacy 508 N Maryland Ave, Plant City, FL 33563-3820 2012-03-30
1891925061 Brett Frazier Family Medicine 508 N Maryland Ave, Plant City, FL 33563-3820 2009-07-21
1952531691 Robin Marie Flicker Dentist 508 N Maryland Ave, Plant City, FL 33563-3820 2009-07-15
1225165806 Rosemary A Clanton Nurse Practitioner 508 N Maryland Ave, Plant City, FL 33563-3820 2007-02-28
1548325491 Harvey Randolph Valdez Dentist 508 N Maryland Ave, Plant City, FL 33563-3820 2006-12-22
1700805819 Dana Edward Perrin Family Medicine 508 N Maryland Ave, Plant City, FL 33563-3820 2006-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235738063 Selena Giordano Counselor 1001 East Baker Street #100, Plant City, FL 33563 2020-10-22
1275171787 Mary Ann Dillon Nutritionist 2011 N Wheeler Street, Plant City, FL 33563 2019-12-16
1023504271 Florida Family Primary Care Centers of Tampa, LLC Pediatrics 1608 Oak Ave, Plant City, FL 33563 2018-07-10
1770092215 Jennifer Lauren Zeljkovic Nurse Practitioner 1703 W. Thonotosassa Rd. A, Plant City, FL 33563 2017-09-27
1831632116 Nusrat Bangash Nurse Practitioner 306 W Dixie St, Plant City, FL 33563 2016-11-18
1265987416 Genice Collins Davis Counselor Heads, 100 E Baker Street #100, Plant City, FL 33563 2016-08-17
1184017089 The Creative Chance Counselor 1803 C Collins Common James Redman Parkway, Plant City, FL 33563 2015-03-17
1518361377 Anne J Lafontant General Practice 1509 W. Reynolds St Jay Care Medical Center, Plant City, FL 33563 2014-10-22
1003160201 Heritage View Alf Inc. Assisted Living Facility 104 N. Gordon Street, Tampa, FL 33563 2012-11-09
1841455607 Darshan Bhupen Shah Family Medicine 301 North Alexander Street, Advanced Care Hospitalists, Plant City, FL 33563 2008-07-22
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1942774807 Kiz Tosi Nurse Practitioner 419 Peoria Blvd, Crestview, FL 32536-2248 2019-01-14
1720555121 Yuleima Placencia Gonzalez Nurse Practitioner 4308 Alton Road. Suite 620, Miami Beach, FL 33140 2018-10-24
1235648296 Lindsay Danielle Leider Nurse Practitioner 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 2017-09-21
1720516974 Polina Goldenberg Nurse Practitioner 1001 Nw 13th St Ste 101a, Boca Raton, FL 33486-2269 2017-06-01
1780044750 Cherie Gordon Nurse Practitioner 2818 W Virginia Avenue, Tampa, FL 33607 2016-03-03
1487032967 Doris Washington Tucker Nurse Practitioner 15013 Sw 110th Ter, Miami, FL 33196-2599 2015-05-15
1962895326 University of Florida Jacksonville Physicians Inc Nurse Practitioner 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 2015-03-10
1538587332 Midwife360, LLC Nurse Practitioner 332 W Boynton Beach Blvd # 3, Boynton Beach, FL 33435 2014-03-31
1811324965 Dalia Philbeck Nurse Practitioner 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 2013-10-03
1407122088 Gloria Scheiner Nurse Practitioner 339 Mcintosh Ave, Orange Park, FL 32073-4831 2012-03-28
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Competitor

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City PLANT CITY
Zip Code 33563

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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