Otegbeye, Ayodeji B
Otegbeye, Ayodeji B is an individual health care provider with primary practice located at 5900 S John Young Pkwy , Orlando FL 32839-3716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Otegbeye, Ayodeji B can be contacted via phone (407) 398-6470.Contact Information
Primary practice address
5900 S John Young Pkwy
Orlando FL 32839-3716
Phone: (407) 398-6470
Fax: (407) 894-6872
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ME0058278 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME58278 | Florida |
Profile Details
NPI number | 1043366131 |
---|---|
LBN Legal business name | Otegbeye, Ayodeji B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | Jun 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043366131 | NPPES |
Florida | MEDICAID | 063905200 |
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