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NPI Code Detail

MEDICARE: BOSEDE OMOLARA BABALOLA-ADEJOKUN NP

MEDICARE: BOSEDE OMOLARA BABALOLA-ADEJOKUN NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95038483CA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN219165GA
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11009821FL

Other Identifiers

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

General Provider Information

NPI Number : 1659989549
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOSEDE OMOLARA BABALOLA-ADEJOKUN NP
Provider Business Mailing Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 404-909-5170
Fax Number :
Provider Business Practice Location Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 404-909-5170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2020
Last Update Date : 06/15/2026

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