Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME 123887 | FL |
NPI | 1003102815 |
---|---|
Provider Name | Dr. Temitope Oshodi |
First Address | Tampa, FL 33622-5317 |
Second Address | Brandon, FL 33511-6066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2011 |
Last Update Date | 23/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015071300 | (05) | FL |