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Individual

ABAYOMI EMMANUEL FABUNMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13303 N DALE MABRY HWY, TAMPA, FL 33618-2409
(727) 938-2020
Mailing address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 943-3111

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME141117
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200772500A
OK
Enumeration date
04/14/2014
Last updated
08/13/2019
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