Healthcare Provider Details

I. General information

NPI: 1568454916
Provider Name (Legal Business Name): CARLINE THERESA OYADIRAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 N UNIVERSITY DR
PEMBROKE PINES FL
33024-6738
US

IV. Provider business mailing address

9725 NW 117TH AVE STE 200
MEDLEY FL
33178-1260
US

V. Phone/Fax

Practice location:
  • Phone: 954-981-2555
  • Fax: 954-538-6850
Mailing address:
  • Phone: 954-432-0578
  • Fax: 954-432-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME72933
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: