Olusegun, Tinuade
Olusegun, Tinuade is an individual health care provider with primary practice located at 4645 Clyde Morris Blvd Ste 404 , Port Orange FL 32129-3005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Olusegun, Tinuade can be contacted via phone (386) 855-8633.Contact Information
Primary practice address
4645 Clyde Morris Blvd Ste 404
Port Orange FL 32129-3005
Phone: (386) 855-8633
Fax: (855) 857-5810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N3663 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME137495 | Florida |
Profile Details
| NPI number | 1760649917 |
|---|---|
| LBN Legal business name | Olusegun, Tinuade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2008 |
| Last updated | Dec 13th, 2022 - 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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