Fawole, Adewale A.

Fawole, Adewale A. is an individual health care provider with primary practice located at 2955 Brownwood Blvd , The Villages FL 32163-2039. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Fawole, Adewale A. can be contacted via phone (352) 765-7100.

Contact Information

Primary practice address
2955 Brownwood Blvd The Villages FL 32163-2039
Phone: (352) 765-7100
Fax: (352) 430-0210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME134275 Florida
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME134275 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME134275 Florida

Profile Details

NPI number 1073742359
LBN Legal business name Fawole, Adewale A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated May 2nd, 2022 - about 2 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 1073742359 NPPES
Florida MEDICAID 023178100

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