Kolapo, Olagoke

Kolapo, Olagoke is an sole proprietor health care provider with primary practice located at 5707 N 22Nd St , Tampa FL 33610-4350. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community is his primary health care specialty. Kolapo, Olagoke can be contacted via phone (813) 239-8069.

Contact Information

Primary practice address
5707 N 22Nd St Tampa FL 33610-4350
Phone: (813) 239-8069
Fax: (813) 231-7324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community 364SP0812X 11000701 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11000701 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN9340756 Florida

Profile Details

NPI number 1215406657
LBN Legal business name Kolapo, Olagoke
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2018
Last updated Dec 21st, 2021 - about 3 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 1215406657 NPPES
Florida MEDICAID F10181707

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