Individual
ADEKUNLE FESTUS OMOTAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1491 GOVERNORS SQUARE BLVD, TALLAHASSEE, FL 32301-3049
(850) 383-3445
Mailing address
PO BOX 15349, TALLAHASSEE, FL 32317-5349
(850) 383-3445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 82543
FL
Other
Enumeration date
05/01/2006
Last updated
05/20/2021
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