Healthcare Provider Details

I. General information

NPI: 1588838890
Provider Name (Legal Business Name): OLUBAYO DANIEL TOJUOLA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 STONEROCK CIR
ORLANDO FL
32819-8004
US

IV. Provider business mailing address

909 FROSTWOOD DR STE 1.100
HOUSTON TX
77024-2301
US

V. Phone/Fax

Practice location:
  • Phone: 407-298-6950
  • Fax: 407-578-2354
Mailing address:
  • Phone: 713-338-5519
  • Fax: 713-704-3086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME121023
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberQ6119
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberQ6119
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: