Organization
OLUPONA FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMIDELE OLUGBENGA OLUPONA (OWNER)
(202) 321-8812
Entity
Organization
Contact information
Practice address
18469 S DIXIE HWY, CUTLER BAY, FL 33157-6815
(786) 573-9400
Mailing address
2601 SW 37TH AVE STE 904, MIAMI, FL 33133-2751
(305) 587-4247
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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