Individual
ADETOLUWA EMMANUEL IJIDAKINRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(407) 498-5274
(407) 900-8098
Mailing address
9300 CONROY WINDERMERE RD UNIT 161, WINDERMERE, FL 34786-5007
(407) 900-8098
(407) 900-8098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.07182
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME154446
FL
Other
Enumeration date
05/24/2018
Last updated
04/10/2024
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