Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Canice Chukwuocha, MD

Individual provider General Practice Physician · NPI 1376151472

Dr. Canice Chukwuocha, MD is a General Practice in Palm Coast, Florida. Qualified in 2009, 17 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
17
Licensed in
FL, PR
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

264A Palm Coast Pkwy NE
Palm Coast, FL 32137-8217
Phone: (386) 446-5505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1489 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 021723 (PR)

Record details

NPI number1376151472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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