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Individual

DR. BANJI O AWOSIKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1210 E PLANT ST, SUITE 120, WINTER GARDEN, FL 34787-2996
(407) 297-8408
(407) 297-8409
Mailing address
1210 E PLANT ST, SUITE 120, WINTER GARDEN, FL 34787-2996
(407) 297-8408
(407) 297-8409

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME90977
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270585100
FL
Enumeration date
06/19/2006
Last updated
02/23/2021
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