MEDICARE: DR. ALADE B AFOLABI ARNP. DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP 1941022	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124161260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALADE B AFOLABI ARNP. DNP

Provider Business Mailing Address
First Line	:	15181 NW 1ST ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-1800
Country	:	US
Telephone Number	:	954-658-4088
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 NE 163RD ST
Second Line	:	SUITE NUMBER 26
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4517
Country	:	US
Telephone Number	:	954-658-4088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	03/11/2017

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