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NPI Code Detail

MEDICARE: DR. BOLANLE AKAKABOTA MD

MEDICARE: DR. BOLANLE AKAKABOTA 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
1208M00000XHospitalist PhysicianME86267FL
2207R00000XInternal Medicine PhysicianME86267FL

Other Identifiers

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

General Provider Information

NPI Number : 1558360370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BOLANLE AKAKABOTA MD
Provider Business Mailing Address
First Line : 515 WEKIVA COMMONS CIR
Second Line :
City : APOPKA
State : FL
Zip : 32712-3645
Country : US
Telephone Number : 407-464-9516
Fax Number :
Provider Business Practice Location Address
First Line : 515 WEKIVA COMMONS CIR
Second Line :
City : APOPKA
State : FL
Zip : 32712-3645
Country : US
Telephone Number : 407-464-9516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 05/25/2017

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Directions to “ DR. BOLANLE AKAKABOTA MD” Practice Location

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