Organization
OLUPONA FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMIDELE OLUPONA D.P.M. (MANAGER)
(202) 321-8812
Entity
Organization
Contact information
Practice address
2601 SW 37TH AVE STE 904, MIAMI, FL 33133-2751
(202) 321-8812
Mailing address
2601 SW 37TH AVE STE 904, MIAMI, FL 33133-2751
(202) 321-8812
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3757
FL
Other
Enumeration date
02/05/2016
Last updated
01/25/2019
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