Individual
DR. OLUMIDE IJISHAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 W BROWARD BLVD, PLANTATION, FL 33324-2701
(323) 363-8489
Mailing address
11511 ABRIOLA CT, RICHMOND, TX 77406-1414
(323) 363-8489
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TRN41190
FL
Other
Enumeration date
07/11/2024
Last updated
03/26/2025
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