Individual
OLUTAYO T OLABIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6218 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8723
(352) 346-3127
(352) 581-6226
Mailing address
PO BOX 141032, GAINESVILLE, FL 32614-1032
(646) 623-8106
(352) 581-6226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48779
KY
207RN0300X
Nephrology Physician
01068818A
IN
207RN0300X
Nephrology Physician
Primary
ME119764
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019517200
—
FL
05
—
201272180
—
IN
05
—
7100389860
—
KY
Enumeration date
07/19/2007
Last updated
08/05/2024
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