Individual
OMOLOLA L KILANIBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
425 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2730
(386) 425-4080
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4080
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11037118
FL
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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