Provider Demographics
NPI:1396255139
Name:EJIOWHOR, FLORENCE WOBERAERE (RN, ADMINISTRATOR)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:WOBERAERE
Last Name:EJIOWHOR
Suffix:
Gender:F
Credentials:RN, ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 NIGHT OWL CT
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5139
Mailing Address - Country:US
Mailing Address - Phone:407-497-1243
Mailing Address - Fax:407-696-0387
Practice Address - Street 1:2119 BEACON LANDING CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-4374
Practice Address - Country:US
Practice Address - Phone:407-497-1243
Practice Address - Fax:407-696-0387
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-06
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3421032163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse