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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073742359 | NPPES |
| Florida | MEDICAID | 023178100 |
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