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Individual

ADETOKUNBO OLUWASANJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
795 STATE ROAD 47, LAKE CITY, FL 32025-0453
(386) 401-7066
(833) 933-0709
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD449227
PA
207R00000X
Internal Medicine Physician
ME141781
FL
207R00000X
Internal Medicine Physician
MT196670
PA
207RH0000X
Hematology (Internal Medicine) Physician
ME141781
FL
207RH0003X
Hematology & Oncology Physician
ME141781
FL
207RX0202X
Medical Oncology Physician
Primary
ME141781
FL

Other

Enumeration date
07/14/2010
Last updated
12/24/2020
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