Healthcare Provider Details

I. General information

NPI: 1316975444
Provider Name (Legal Business Name): OLIVER F ADUNKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST FL 5
MIAMI FL
33136-2107
US

IV. Provider business mailing address

1120 NW 14TH ST FL 5
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3564
  • Fax: 305-243-6449
Mailing address:
  • Phone: 305-243-3564
  • Fax: 305-243-6449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number35.123953
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number200600334
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: