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Individual

DR. OLUYEMI OMONIYI OMOTOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
313133
NY
207P00000X
Emergency Medicine Physician
Primary
ME155042
FL

Other

Enumeration date
06/04/2018
Last updated
10/24/2023
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