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NPI Code Detail

MEDICARE: DR. HAFUSAT ABOSEDE ONI DO

MEDICARE: DR. HAFUSAT ABOSEDE ONI DO
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
1207Q00000XFamily Medicine Physician34-008846OH
2207Q00000XFamily Medicine PhysicianOS9433FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558452417
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAFUSAT ABOSEDE ONI DO
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 407-905-8827
Fax Number : 352-429-5606
Provider Business Practice Location Address
First Line : 1296 W BROAD ST
Second Line :
City : GROVELAND
State : FL
Zip : 34736-2012
Country : US
Telephone Number : 407-905-8827
Fax Number : 352-429-5606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 10/22/2018

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