Individual
DR. AMOS OLABISI DARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
544 CESERY BLVD, SUITE 310, JACKSONVILLE, FL 32211
(904) 743-9222
(904) 743-9225
Mailing address
8185 VIA ANCHO RD, UNIT 880347, BOCA RATON, FL 33488
(561) 844-0120
(904) 743-9225
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME91254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271212100
—
FL
Enumeration date
10/11/2006
Last updated
07/27/2020
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