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Organization

OLUPONA FOOT AND ANKLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAMIDELE OLUGBENGA OLUPONA (PHYSICIAN)
(202) 321-8812
Entity
Organization

Contact information

Practice address
2600 W FLAGLER ST, MIAMI, FL 33135-1425
(786) 686-5767
Mailing address
2601 SW 37TH AVE STE 904, MIAMI, FL 33133-2751

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
12/18/2019
Last updated
12/18/2019
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