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NPI Code Detail

MEDICARE: DR. OLAYINKA ABIODUN BANKOLE MD

MEDICARE:  DR. OLAYINKA ABIODUN BANKOLE  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
1207R00000XInternal Medicine PhysicianME0069767FL
2207RB0002XObesity Medicine (Internal 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 : 1942312814
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLAYINKA ABIODUN BANKOLE MD
Provider Business Mailing Address
First Line : 4513 N ARMENIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33603-2703
Country : US
Telephone Number : 813-414-0825
Fax Number :
Provider Business Practice Location Address
First Line : 4204 B N MACDILL AVE
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 05/24/2018

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Directions to “ DR. OLAYINKA ABIODUN BANKOLE MD” Practice Location

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