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NPI Code Detail

MEDICARE: RAIFU ADEREMI ADEBAYO

MEDICARE: RAIFU ADEREMI ADEBAYO
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
1183500000XPharmacistPS42243FL

General Provider Information

NPI Number : 1417225749
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAIFU ADEREMI ADEBAYO
Provider Business Mailing Address
First Line : 14138 SW 31ST ST
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-3971
Country : US
Telephone Number : 954-483-5867
Fax Number : 305-828-9770
Provider Business Practice Location Address
First Line : 6800 W 28TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33018-5305
Country : US
Telephone Number : 305-828-0268
Fax Number : 305-828-9770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2011
Last Update Date : 12/01/2011

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Directions to “ RAIFU ADEREMI ADEBAYO ” Practice Location

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