Individual
BABALOLA OLUSOLA OLUWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 S EDMONDS LN, LEWISVILLE, TX 75067-4418
(972) 829-0098
(972) 436-0145
Mailing address
18207 SWEET JASMINE DR, TAMPA, FL 33647-2863
(813) 300-4035
(877) 860-6213
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
74212
FL
208D00000X
General Practice Physician
74212
FL
Other
Enumeration date
01/26/2007
Last updated
11/08/2007
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