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NPI Code Detail

MEDICARE: MISS OLUWAFUNMILAYO SHODEKO

MEDICARE:  MISS OLUWAFUNMILAYO  SHODEKO
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
1101YM0800XMental Health CounselorMH16846FL

General Provider Information

NPI Number : 1285263798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS OLUWAFUNMILAYO SHODEKO
Provider Business Mailing Address
First Line : 1700 S CORAL TER
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-4128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S CORAL TER
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-4128
Country : US
Telephone Number : 305-775-6316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2020
Last Update Date : 04/06/2020

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Directions to “ MISS OLUWAFUNMILAYO SHODEKO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.