# OLUPONA FOOT AND ANKLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760020937
- **Authorized official:** BAMIDELE OLUGBENGA OLUPONA (PHYSICIAN)
- **Authorized official phone:** (202) 321-8812

## Contact information

- **Practice address:** 2600 W FLAGLER ST, MIAMI, FL 33135-1425
- **Practice address phone:** (786) 686-5767
- **Mailing address:** 2601 SW 37TH AVE STE 904, MIAMI, FL 33133-2751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2019
- **Last updated:** 12/18/2019