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

Idemudia George Idehen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124657085

Idemudia George Idehen, MD is an Emergency Medicine in Homestead, Florida. Qualified in 2020, 6 years ago. Practices with Duval Emergency Group LLC, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
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

975 Baptist Way
Homestead, FL 33033-7600
Phone: (786) 243-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 N California St, Stockton, CA 95204-6019 — (209) 547-7146

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME160227 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124657085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESJanuary 3, 2024
Certification dateDecember 27, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Duval Emergency Group Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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