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Organization
WHITECHAPEL BEHAVIORAL SERVICES
Active
Organization
WHITECHAPEL BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLATUNDE FATINIKUN MD (MANAGER)
(813) 445-5538
Entity
Organization
Contact information
Practice address
141 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 445-5538
Mailing address
141 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 445-5538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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