Individual
OMOSALEWA O. ADEWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 N 35TH AVE, SUITE 605, HOLLYWOOD, FL 33021-5424
(954) 265-7925
(954) 276-0279
Mailing address
1150 N 35TH AVE, SUITE 605, HOLLYWOOD, FL 33021-5424
(954) 265-7925
(954) 276-0279
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
124297
FL
207RC0000X
Cardiovascular Disease Physician
M2997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179045301
—
TX
01
—
8P0282
BCBS OF TEXAS
TX
Enumeration date
06/21/2006
Last updated
05/08/2017
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