Provider Demographics
NPI:1174784011
Name:UKENENYE, FRANCIS NDUDI I
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:NDUDI
Last Name:UKENENYE
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:NDUDI
Other - Last Name:UKENENYE
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:5372 NW 190TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-5322
Mailing Address - Country:US
Mailing Address - Phone:305-430-8311
Mailing Address - Fax:305-430-8311
Practice Address - Street 1:6360 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-1216
Practice Address - Country:US
Practice Address - Phone:954-302-2337
Practice Address - Fax:954-357-0576
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS37434OtherFLORIDA BOARD OF PHARMACY REGISTRATION NUMBER