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1134410988

NPI Code Detail

MEDICARE: BOSEDE ADESOLA AFOLABI MD

MEDICARE: BOSEDE ADESOLA AFOLABI MD

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	207RC0001X	Clinical Cardiac Electrophysiology Physician	ME101618	FL
2	207UN0901X	Nuclear Cardiology Physician	MD447181	PA
3	207R00000X	Internal Medicine Physician	MD447181	PA
4	207RC0000X	Cardiovascular Disease Physician	MD447181	PA
5	207RC0001X	Clinical Cardiac Electrophysiology Physician	MD447181	PA

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	:	1134410988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOSEDE ADESOLA AFOLABI MD

Provider Business Mailing Address
First Line	:	2995 DREW ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-315-7496
Fax Number	:

Provider Business Practice Location Address
First Line	:	4612 N HABANA AVE FL 2
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7101
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:

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

Provider Enumeration Date	:	04/27/2011
Last Update Date	:	02/02/2026

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Directions to “ BOSEDE ADESOLA AFOLABI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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