Organization
OLUPONA FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMIDELE OLUGBENGA OLUPONA (OWNER)
(202) 321-8812
Entity
Organization
Contact information
Practice address
1600 NW 17TH AVE, MIAMI, FL 33125-2327
(305) 635-0335
Mailing address
2601 SW 37TH AVE STE 904, MIAMI, FL 33133-2751
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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