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Individual

ADEOLA AKINOLA MAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5331 PRIMROSE LAKE CIR STE 112, TAMPA, FL 33647-3764
(813) 517-4629
Mailing address
5173 FIDDLE FIG AVE, WIMAUMA, FL 33598-4340
(469) 664-2139

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11031275
FL

Other

Enumeration date
06/10/2024
Last updated
03/10/2025
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