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Organization

OLAYINKA BANKOLE MD PA

Active
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Organization

OLAYINKA BANKOLE MD PA

Active
Other names
Tampa Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
OLAYINKA BANKOLE M.D. (PRESIDENT)
(813) 414-0825
Entity
Organization

Contact information

Practice address
4204 N MACDILL AVE # B, SUITE 2, TAMPA, FL 33607-6364
(813) 414-0825
(813) 414-0175
Mailing address
4204 N MACDILL AVE # B, SUITE 2, TAMPA, FL 33607-6364
(813) 414-0825
(813) 414-0175

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69767
FL
207RB0002X
Obesity Medicine (Internal Medicine) Physician
ME69767
FL

Other

Enumeration date
11/01/2007
Last updated
11/01/2007
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