MEDICARE: YEJIDE OLABISI SOKOYA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	ME102913	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033118963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YEJIDE OLABISI SOKOYA MD

Provider Business Mailing Address
First Line	:	2021 N LEMANS BLVD
Second Line	:	UNIT 6419
City	:	TAMPA
State	:	FL
Zip	:	33607-1122
Country	:	US
Telephone Number	:	404-276-3322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 N LEMANS BLVD
Second Line	:	UNIT 6419
City	:	TAMPA
State	:	FL
Zip	:	33607-1122
Country	:	US
Telephone Number	:	404-276-3322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/11/2011

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