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NPI Code Detail

MEDICARE: OLAYINKA BANKOLE MD PA

MEDICARE: OLAYINKA BANKOLE MD PA
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
1207RB0002XObesity Medicine (Internal Medicine) PhysicianME69767FL
2207R00000XInternal Medicine PhysicianME69767FL

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 : 1831378371
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLAYINKA BANKOLE MD PA
Provider Business Mailing Address
First Line : 4204 N MACDILL AVE # B
Second Line : SUITE 2
City : TAMPA
State : FL
Zip : 33607-6364
Country : US
Telephone Number : 813-414-0825
Fax Number : 813-414-0175
Provider Business Practice Location Address
First Line : 4204 N MACDILL AVE # B
Second Line : SUITE 2
City : TAMPA
State : FL
Zip : 33607-6364
Country : US
Telephone Number : 813-414-0825
Fax Number : 813-414-0175
Authorized Official
Title or Position : PRESIDENT
Name : OLAYINKA BANKOLE
Credential : M.D.
Telephone Number : 813-414-0825
Provider Enumeration Date : 11/01/2007
Last Update Date : 11/01/2007

Similar Medicare Providers

1942312814 — DR. OLAYINKA ABIODUN BANKOLE MD
Practice Location Address:
4204 B N MACDILL AVE , SUITE 2
TAMPA, FL
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Practice Phone: 813-414-0825
Practice Fax: 813-414-0175
1205006228 — YBOR CITY DIALYSIS LLC
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1861493900 — DENCY RIVAS M.D.
Practice Location Address:
7108 CAUSEWAY BLVD
TAMPA, FL
33619-6364
Practice Phone: 813-628-4400
Practice Fax: 813-628-4500
1447461355 — MEDCENTRAL CORPORATION
Practice Location Address:
7108 CAUSEWAY BLVD
TAMPA, FL
33619-6364
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Practice Fax: 813-628-4500
1457656373 — MY PHARMACY OF TAMPA LLC
Practice Location Address:
7108 CAUSEWAY BLVD
TAMPA, FL
33619-6364
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Practice Fax: 813-628-4442
1710278890 — MRS. DAMARIS RODRIGUEZ VIEIRA ARNP
Practice Location Address:
7108 CAUSEWAY BLVD
TAMPA, FL
33619-6364
Practice Phone: 813-628-4400
Practice Fax: 813-628-4500

Directions to “OLAYINKA BANKOLE MD PA ” Practice Location

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