Individual
BAMIDELE OLUPONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2601 SW 37TH AVE STE 604, MIAMI, FL 33133-2750
(305) 587-4247
(866) 834-5611
Mailing address
2601 SW 37TH AVE STE 604, MIAMI, FL 33133-2750
(305) 587-4247
(866) 834-5611
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
PO3757
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3757
FL
213ES0131X
Foot Surgery Podiatrist
PO3757
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
10/21/2022
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