MEDICARE: DR. FOLUSAKIN ODEWUMI AYOADE M.D.

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	207R00000X	Internal Medicine Physician	207780	LA
2	207R00000X	Internal Medicine Physician	0101237502	VA
3	207RI0200X	Infectious Disease Physician	ME133280	FL

General Provider Information

NPI Number	:	1871598904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FOLUSAKIN ODEWUMI AYOADE M.D.

Provider Business Mailing Address
First Line	:	1120 NW 14TH ST FL 8
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2107
Country	:	US
Telephone Number	:	240-305-6546
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 NW 14TH ST FL 8
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2107
Country	:	US
Telephone Number	:	305-243-9794
Fax Number	:

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	11/13/2018

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