Organization
OLUPONA FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMIDELE OLUGBENGA OLUPONA (PHYSICIAN)
(202) 321-8812
Entity
Organization
Contact information
Practice address
3233 PALM AVE, HIALEAH, FL 33012-5427
(305) 826-0660
Mailing address
2601 SW 37TH AVE STE 904, MIAMI, FL 33133-2751
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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