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Dr. Osayande Stephen Izeiyamu, MD
General Practice Physician in Lake City, Florida
NPI 1255698619

Osayande Stephen Izeiyamu is a General Practice Physician based in Lake City, FL. Osayande Stephen Izeiyamu practices in Lake City, FL and has the professional credentials of MD. The NPI Number for Osayande Stephen Izeiyamu is 1255698619 and holds a License No. BP10043366 (Florida).

The current practice location address for Osayande Stephen Izeiyamu is 194 Sw Wall Ter, Lake City, FL and can be reached out via phone at 386-719-9227 and via fax at 386-719-9488.

Location: 194 Sw Wall Ter, Lake City, FL, 32025-5086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255698619
Provider Name
Osayande Stephen Izeiyamu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
194 Sw Wall Ter, Lake City, FL, 32025-5086
Phone Number
386-719-9227
Fax Number
386-719-9488
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014632400 05 FL
institution
Provider Business Practice Location Address Details
Address
194 Sw Wall Ter
City
Lake City
State
Florida
Zip
32025-5086
Phone Number
386-719-9227
Fax Number
386-719-9488
person
Provider Business Mailing Address Details
Address
194 Sw Wall Ter
City
Lake City
State
Florida
Zip
32025-5086
Phone Number
386-719-9227
Fax Number
386-719-9488
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ACN634 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
BP10043366 (Texas)
Definition
Definition to come...
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