Individual
DR. ADEDOYIN OKUSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6613 49TH ST N, PINELLAS PARK, FL 33781-5728
(727) 527-6611
Mailing address
8116 RIVERMONT WAY, TEMPLE TERRACE, FL 33637
(813) 482-5734
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME129198
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2010
Last updated
02/13/2017
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