Individual
TIMILEHIN TAYO OLUSEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 AVENUE F, BOGALUSA, LA 70427-3634
(985) 732-0058
Mailing address
420 AVENUE F, BOGALUSA, LA 70427-3634
(985) 732-0058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME170706
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2022
Last updated
07/31/2025
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