Individual
FOLUSO OGUNSILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 JOHNSON ST, SUITE B, HOLLYWOOD, FL 33021-3302
(954) 265-1400
(954) 276-0386
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME159177
FL
207RH0003X
Hematology & Oncology Physician
38632
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116230800
—
FL
Enumeration date
04/20/2012
Last updated
12/15/2022
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