Organization
WEST ORANGE NEPHROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANJI AWOSIKA M.D. (PHYSICIAN)
(407) 297-8408
Entity
Organization
Contact information
Practice address
1210 E PLANT ST STE 120, WINTER GARDEN, FL 34787-2995
(407) 297-8408
(407) 297-8409
Mailing address
301 S WEST CROWN POINT RD STE 120, WINTER GARDEN, FL 34787-2916
(407) 297-8408
(407) 297-8409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME90977
FL
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005563100
—
FL
Enumeration date
01/27/2006
Last updated
04/10/2023
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