Individual
DR. EZEKIEL ADEREMI OSUNTOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13601 BRUCE B DOWNS BLVD, SUIT 121, TAMPA, FL 33613-4657
(813) 454-1113
(813) 454-1114
Mailing address
PO BOX 46577, TAMPA, FL 33646-0105
(813) 727-2650
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
ME106194
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME106194
FL
Other
Enumeration date
06/12/2008
Last updated
01/15/2019
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