David O Ikudayisi
Geriatric Medicine
6641 Madison St Suite 3
New Port Richey
, Florida 34652-1966
David O Ikudayisi
Geriatric Medicine
6641 Madison St Suite 3
New Port Richey
, Florida 34652-1966
(813) 932-9798
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- David O Ikudayisi
- 8019 N Himes Ave Suite 200
- Tampa, FL
- Zip : 33614-2712
- Phone : (813) 932-9798
Second Address
- David O Ikudayisi
- 6641 Madison St Suite 3
- New Port Richey, FL
- Zip : 34652-1966
- Fax : (727) 597-8487
- Phone : (727) 232-0826
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | ME87841 | FL |
National Provider Identifier
| NPI | 1164604526 |
|---|---|
| Provider Name | David O Ikudayisi |
| First Address | Tampa, FL 33614-2712 |
| Second Address | New Port Richey, FL 34652-1966 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2007 |
| Last Update Date | 31/10/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.