Organization
OLUPONA FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMIDELE OLUGBENGA OLUPONA (OWNER/PHYSICIAN)
(202) 321-8812
Entity
Organization
Contact information
Practice address
440 W 49TH ST, HIALEAH, FL 33012-3603
(305) 828-5000
Mailing address
2601 SW 37TH AVE STE 904, MIAMI, FL 33133-2751
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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