MEDICARE: DR. OLUWATOYIN E. FALODUN 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	207P00000X	Emergency Medicine Physician	C3606	KY
2	207P00000X	Emergency Medicine Physician	ME93204	FL

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	:	1578586996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLUWATOYIN E. FALODUN MD

Provider Business Mailing Address
First Line	:	1 DAVIS BLVD STE 503
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3480
Country	:	US
Telephone Number	:	813-627-5973
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 DAVIS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3463
Country	:	US
Telephone Number	:	813-627-5973
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	03/12/2025

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