Healthcare Provider Details

I. General information

NPI: 1528491370
Provider Name (Legal Business Name): OPEYEMI OLUDELE AINA-WHITE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2013
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 MAGUIRE BLVD
ORLANDO FL
32803-3077
US

IV. Provider business mailing address

3751 MAGUIRE BLVD STE 211
ORLANDO FL
32803-3011
US

V. Phone/Fax

Practice location:
  • Phone: 321-247-5135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9360118
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: