Individual
DR. COMFORT OMOBOLA ADEWUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18356 NW 47TH AVE, MIAMI GARDENS, FL 33055-2934
(305) 974-5750
(305) 757-4443
Mailing address
17439 NW 66TH CT, HIALEAH, FL 33015-4431
(305) 974-5750
(305) 757-4443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS8579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81516Z
MEDICARE ID
FL
Enumeration date
05/16/2006
Last updated
12/30/2016
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