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OLUPONA FOOT AND ANKLE LLC NPI 1528529120


NPI Information

NPI: 1528529120
Provider Name: OLUPONA FOOT AND ANKLE, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 10D2261489

Address:
18469 S DIXIE HWY
CUTLER BAY, FL
ZIP 33157
Phone: (786) 573-9400
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OLUPONA FOOT AND ANKLE, LLC is a foot and ankle surgery podiatrist in Cutler Bay, FL. OLUPONA FOOT AND ANKLE, LLC NPI is 1528529120. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18469 S DIXIE HWY
CUTLER BAY, FL
ZIP 33157-815
Phone: (786) 573-9400

The provider's authorized official is Bamidele Olugbenga Olupona .
The authorized official title is Owner and has the following contact phone number (202) 321-8812.

The CLIA number assigned to this NPI record is 10D2261489 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/27/2019 and was last updated on 3/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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