MEDICARE: TOLULOPE FAMUYIRO 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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	330938	LA
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	288037	MA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207QG0300X	Geriatric Medicine (Family Medicine) Physician	0101271156	VA

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	:	1407343551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOLULOPE FAMUYIRO MD

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	844-630-0700
Fax Number	:	877-374-1924

Provider Business Practice Location Address
First Line	:	6404 GROOM RD
Second Line	:
City	:	BAKER
State	:	LA
Zip	:	70714-4364
Country	:	US
Telephone Number	:	225-614-9065
Fax Number	:	855-583-3594

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

Provider Enumeration Date	:	04/14/2018
Last Update Date	:	03/06/2026

Similar Medicare Providers

1750854311 — SHELITA SPEARS KING FNP-C
Practice Location Address:

6404 GROOM RD
BAKER, LA
70714-4364

Practice Phone: 225-614-9065
Practice Fax: 877-270-0561

1962276956 — CENTERWELL SENIOR PRIMARY CARE (LA) PC
Practice Location Address:

6404 GROOM RD
BAKER, LA
70714-4364

Practice Phone: 225-614-9065
Practice Fax:

1801509468 — MADELYN ANTLE MARTIN LMSW
Practice Location Address:

13582 BLACKWATER RD
BAKER, LA
70714-6800

Practice Phone: 225-930-8058
Practice Fax:

1235132036 — BAKER MEDICAL CORPORATION, LTD
Practice Location Address:

3034 RAY WEILAND DR
BAKER, LA
70714-3252

Practice Phone: 225-775-8500
Practice Fax: 225-775-0289

1003813254 — GET WELL MEDICAL TRANSPORTATION
Practice Location Address:

4326 ALGOA AVE
BAKER, LA
70714-4620

Practice Phone: 225-778-6943
Practice Fax: 225-778-6943

1619977824 — CATHERINE ANN POURCIAU NP
Practice Location Address:

6516 E MYRTLE AVE
BAKER, LA
70714-4348

Practice Phone: 225-774-7320
Practice Fax: 225-774-5432

Directions to “ TOLULOPE FAMUYIRO MD” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.