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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1043366131 NPPES
Florida MEDICAID 063905200

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