Organization
FAST TRACK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEBAYO ODUNLAMI M.D. (DOCTOR/OWNER)
(352) 433-2633
Entity
Organization
Contact information
Practice address
1133 SE 18TH PL STE 1, OCALA, FL 34471-5404
(352) 433-2633
(352) 433-2644
Mailing address
1133 SE 18TH PL STE 1, OCALA, FL 34471-5404
(352) 433-2633
(352) 433-2644
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
ME 101959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000044901
—
FL
01
—
1326000456
PERSONAL NPI
FL
Enumeration date
02/10/2016
Last updated
02/10/2016
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