Individual
DR. ABIMBOLA ODUSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9203
(561) 798-3300
Mailing address
11131 MANDERLY LN, WELLINGTON, FL 33467-7404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 82368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06025
MEDICARE CORE
FL
Enumeration date
09/21/2005
Last updated
01/12/2024
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