Individual
EFOSA AMADASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 E TWIGGS ST, TAMPA, FL 33602-3104
(832) 755-0217
Mailing address
1120 E TWIGGS ST, TAMPA, FL 33602-3104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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