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

Individual provider General Practice Physician · NPI 1679926687

Dr. Obioma Anthony Esomonu, MD is a General Practice in Jacksonville, Florida. Qualified in 2010, 16 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
16
Licensed in
FL, PR
In the registry since
2016
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

1028 Dunn Ave
Jacksonville, FL 32218-4830
Phone: (047) 667-6069
Fax: (904) 766-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN907 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 19415 (PR)

Record details

NPI number1679926687
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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