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Individual

OLADELE AKINSIKU FABUNMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6633 FOREST AVE STE 300, NEW PORT RICHEY, FL 34653-2612
(727) 724-8611
(727) 724-0425
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35131832
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME164425
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09111986
OH
Enumeration date
04/08/2014
Last updated
05/11/2026
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