Provider Demographics
NPI:1053744771
Name:MGBEMENA, MARGARET EKENE (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:EKENE
Last Name:MGBEMENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:EKENE
Other - Last Name:NJOKU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2871 SW BRIGHTON WAY
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-6077
Mailing Address - Country:US
Mailing Address - Phone:202-677-0413
Mailing Address - Fax:
Practice Address - Street 1:1700 S 23RD ST
Practice Address - Street 2:LAWNWOOD REGIONAL MEDICAL CENTER& HEART INSTITUTE
Practice Address - City:FORTE PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950
Practice Address - Country:US
Practice Address - Phone:772-461-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127741207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine