Shodeinde, Michael

Shodeinde, Michael is an sole proprietor health care provider with primary practice located at 2001 Kingsley Ave , Orange Park FL 32073-5148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shodeinde, Michael can be contacted via phone (904) 639-2112.

Contact Information

Primary practice address
2001 Kingsley Ave Orange Park FL 32073-5148
Phone: (904) 639-2112
Fax: (904) 639-2015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME142887 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME142887 Florida

Profile Details

NPI number 1285166157
LBN Legal business name Shodeinde, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2017
Last updated Apr 3rd, 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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