Healthcare Provider Details

I. General information

NPI: 1356720395
Provider Name (Legal Business Name): AKINTOMIDE APARA M.D., PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2015
Last Update Date: 08/10/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S PARK RD STE 300
HOLLYWOOD FL
33021-8353
US

IV. Provider business mailing address

1200 SW 145TH AVE STE 250
PEMBROKE PINES FL
33027-6240
US

V. Phone/Fax

Practice location:
  • Phone: 954-925-2740
  • Fax: 954-923-8379
Mailing address:
  • Phone: 954-925-2740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME150234
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: