Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD447181 | PA |
N | 111NI0900X | Internist | MD447181 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD447181 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD447181 | PA |
NPI | 1134410988 |
---|---|
Provider Name | Bosede Adesola Afolabi |
First Address | Ocala, FL 34471-7734 |
Second Address | Ocala, FL 34471-7734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2011 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
013833900 | (05) | FL |