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

Mr. Jideofor Ebony Obodozie, MD

Individual provider Internal Medicine Physician · NPI 1124517289

Mr. Jideofor Ebony Obodozie, MD is a Critical Care (Intensivists) in Daytona Beach, Florida. Qualified in 2010, 16 years ago. Practices with Florida Hospital Healthcare Partners, Inc, a 605-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Missouri.

Years since qualifying
16
Licensed in
FL, MO
In the registry since
2018
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

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone: (386) 231-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 124 Colton Dr, Daytona Beach, FL 32117-5621 — (210) 789-9296

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence ME165936 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2021048898 (MO)

Record details

NPI number1124517289
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2018
Last updated in NPPESJune 9, 2024
Certification dateJune 9, 2024

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Florida Hospital Healthcare Partners, Inc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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