Healthcare Provider Details
I. General information
NPI: 1255246609
Provider Name (Legal Business Name): OLUWATOYIN ADENIJI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 GLADES RD
BOCA RATON FL
33431-6401
US
IV. Provider business mailing address
1052 NW 18TH AVE
BOCA RATON FL
33486-1429
US
V. Phone/Fax
- Phone: 561-391-8086
- Fax:
- Phone: 512-300-3179
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 11049469 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: