SearchFlorida163W00000X

Gideon Eziama

NPI 1659821965 · on the registry since 2016 · sole proprietor

Practice

Address
333 1st St N
Suite 200
Jacksonville Beach, FL 32250
Phone
(904) 694-1213
Organisation at this address
Open Air Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida