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Individual

BAMIDELE OBAITAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH., CONS.PH

Contact information

Practice address
558 FENWAY PL, ORLANDO, FL 32806-4714
(727) 641-6221
Mailing address
558 FENWAY PLACE, ORLANDO, FL 32806
(727) 641-6221

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38674
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
7009
FL

Other

Enumeration date
03/28/2017
Last updated
03/28/2017
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