Basic Information
| Provider Information | |||||||||
| NPI: | 1497778310 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NSEYO | ||||||||
| FirstName: | UNYIME | ||||||||
| MiddleName: | OKPOSONG | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1601 SW ARCHER RD | ||||||||
| Address2: | 112-C | ||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326081135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523761611 | ||||||||
| FaxNumber: | 3523746157 | ||||||||
| Practice Location | |||||||||
| Address1: | 135 PROFESSIONAL PARK DR | ||||||||
| Address2: | |||||||||
| City: | SENECA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296782558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8648825306 | ||||||||
| FaxNumber: | 8648821908 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 51456 | SC | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | ME91775 | FL | Y | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | 271331400 | 05 | FL | MEDICAID |