Look up the most recent NPI and PECOS records

Philip Nnamdi Okafor

Internal Medicine

Allopathic & Osteopathic Physicians

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as PHILIP OKAFOR.

Based on the most recent information from CMS, provider Philip Nnamdi Okafor is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1669783510
Provider Type
Individual
Full Name
Okafor, Philip Nnamdi
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/25/2010
Last Updated
1/11/2022

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME153007 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 245438 Massachusetts
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License A142014 California
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 57026 Minnesota

Philip Nnamdi Okafor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Kumbhari, Vivek

Pungpapong, Surakit

Travers, Paul M

Lange, Stephen M

Francis, Dawn

Francis, Fadi

Bi, Yan

Stark, Mark

Brahmbhatt, Bhaumik

Wolfsen, Herbert