Individual
DR. EDWARD OLUBANKOLE SENU-OKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101241450
VA
207R00000X
Internal Medicine Physician
Primary
ME124895
FL
208M00000X
Hospitalist Physician
ME124895
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-028
TRICARE/CHAMPUS
VA
01
—
1017159
OPTIMA HEALTH
VA
01
—
1316990864
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1316990864
—
NC
05
—
1316990864
—
VA
01
—
490717
ANTHEM BC/BS
VA
01
—
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
05/18/2006
Last updated
02/19/2025
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