MEDICARE: DR. DAVID ABOLARIN DADA M.D.

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	2084P0805X	Geriatric Psychiatry Physician	ME112290	FL
2	2084P0800X	Psychiatry Physician	ME 112290	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	HA948	OTHER	FL	MEDICARE PTAN

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	:	1558637363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ABOLARIN DADA M.D.

Provider Business Mailing Address
First Line	:	2801 SW COLLEGE RD STE 4
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-4430
Country	:	US
Telephone Number	:	352-237-5672
Fax Number	:	352-237-5691

Provider Business Practice Location Address
First Line	:	434 W KENNEDY BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-6237
Country	:	US
Telephone Number	:	407-875-3700
Fax Number	:

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

Provider Enumeration Date	:	03/26/2012
Last Update Date	:	12/16/2024

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