IMA EBONGO FNP NPI 1992341523

NPI Information

  • NPI: 1992341523
  • Provider Name: IMA EBONGO, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 300 NW 183RD ST
    MIAMI GARDENS, FL
    ZIP 33169
  • Phone: (305) 999-0520

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NPI Details

Ima Ebongo, FNP is a family nurse practitioner in Miami Gardens, FL. Ima Ebongo, FNP NPI is 1992341523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 NW 183RD ST
MIAMI GARDENS, FL
ZIP 33169-464
Phone: (305) 999-0520

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN11001398FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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