1. Home
  2. Directory
  3. Florida
  4. Orange Park
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MS. MUNACHISO EGBO M.D
NPI 1700646122
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Active since March 21, 2024PECOS Enrolled
2001 KINGSLEY AVE., ORANGE PARK, FL 32073(904) 639-2005(904) 639-2015 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Munachiso Egbo M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MUNACHISO EGBO M.D (NPI 1700646122) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700646122
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. MUNACHISO EGBOCredential: M.D
Location Address2001 KINGSLEY AVE.Orange Park, FL 32073
Mailing Address2021 Professional Center Drive, Suite 100Orange Park, FL 32073 · (904) 639-2005 · Fax (904) 639-2015
Phone(904) 639-2005
Fax(904) 639-2015
Sole ProprietorNo
Enumeration DateMarch 21, 2024
Last NPPES UpdateOctober 21, 2024
✔ NPI 1700646122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2001 KINGSLEY AVE., Orange Park, FL 32073
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Munachiso Egbo M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIEL FELIPE TOSTA M.D.
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE.
ORANGE PARK, FL 32073
Clay County (904) 639-2009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Munachiso Egbo's NPI number?

The NPI number for Munachiso Egbo is 1700646122. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Munachiso Egbo located?

Munachiso Egbo practices at 2001 Kingsley Ave., Orange Park, FL 32073. The listed phone number is (904) 639-2005.

What is Munachiso Egbo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Munachiso Egbo enrolled in Medicare?

Yes. Munachiso Egbo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Munachiso Egbo was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.