Individual
DR. BANDELE OLATOKUNBO OREBANWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 HOSPITAL DR, SUITE 120, PALM COAST, FL 32164-2452
(386) 586-4280
(386) 586-4286
Mailing address
21 HOSPITAL DR, SUITE 120, PALM COAST, FL 32164-2452
(386) 586-4280
(386) 586-4286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME100225
FL
Other
Enumeration date
11/09/2007
Last updated
04/04/2011
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