Adelufosi, Katherine Omolara

Adelufosi, Katherine Omolara is an individual health care provider with primary practice located at 401 Oakfield Dr , Brandon FL 33511-5710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Adelufosi, Katherine Omolara can be contacted via phone (813) 684-2229.

Contact Information

Primary practice address
401 Oakfield Dr Brandon FL 33511-5710
Phone: (813) 684-2229
Fax: (813) 413-8508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9310377 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN9310377 Florida

Profile Details

NPI number 1306250386
LBN Legal business name Adelufosi, Katherine Omolara
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2014
Last updated Dec 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306250386 NPPES
Florida MEDICAID 015679600
Florida Other L7288
Florida Other 04N17

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