Healthcare Provider Details

I. General information

NPI: 1497149793
Provider Name (Legal Business Name): AKINBOYEDE AKINYEMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 SE FEDERAL HWY STE 130
STUART FL
34994-3802
US

IV. Provider business mailing address

10101 S GARDENS DR APT 101
PALM BEACH GARDENS FL
33418-5846
US

V. Phone/Fax

Practice location:
  • Phone: 404-304-5002
  • Fax:
Mailing address:
  • Phone: 404-304-5002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME133667
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME133667
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: