Individual
DR. TOLULOPE ADESOLA ADEBANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
83 COLUMBIA ST, ORLANDO, FL 32806-1106
(321) 843-3220
(321) 843-3210
Mailing address
83 COLUMBIA ST, ORLANDO, FL 32806-1106
(321) 843-3220
(321) 843-3210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME136408
FL
208000000X
Pediatrics Physician
Q3136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103559300
—
FL
Enumeration date
05/31/2012
Last updated
10/28/2019
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