Provider Demographics
NPI:1992913925
Name:NWEZE, FELICIA AMECHI
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:AMECHI
Last Name:NWEZE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12754 ALEGUAS LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-2744
Mailing Address - Country:US
Mailing Address - Phone:407-249-4016
Mailing Address - Fax:
Practice Address - Street 1:7580 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-8821
Practice Address - Country:US
Practice Address - Phone:407-677-4515
Practice Address - Fax:407-677-4504
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist