Active NPIIndividual provider

Dr. Olufunmilola A Olubukola, MD

General Practice in Kissimmee, Florida

NPI Number1609538016
Practice location
1502 Village Oak Ln, Kissimmee, FL 34746-6558
Fax
407-440-4054
Last updated
April 13, 2023

Olufunmilola Abiodun Olubukola is a General Practice based in Kissimmee, FL. Olufunmilola Abiodun Olubukola practices in Kissimmee, FL and has the professional credentials of MD. The NPI Number for Olufunmilola Abiodun Olubukola is 1609538016 and holds a License No. TBAJLDM-15-940i (PR). The current practice location address for Olufunmilola Abiodun Olubukola is 1502 Village Oak Ln, Kissimmee, FL 34746-6558 and can be reached out via phone at 407-627-0066 and via fax at 407-440-4054.

Provider Profile Details

NPI Number
1609538016
Provider Name
Olufunmilola Abiodun Olubukola
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1502 Village Oak Ln, Kissimmee, FL 34746-6558
Phone Number
407-627-0066
Fax Number
407-440-4054
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Other Names
Dr. Olufunmilola Abiodun Olubukola, MD (Professional Name)
Provider Enumeration Date
October 13, 2021
Last Update Date
April 13, 2023
Certification Date
April 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1502 Village Oak Ln
Kissimmee, FL 34746-6558
State
Florida
Zip
34746-6558
Phone Number
407-627-0066
Fax Number
407-440-4054
Kissimmee, FL 34746Get directions →

Provider Business Mailing Address Details

Address
6900 Tavistock Lakes Blvd Ste 300
Orlando, FL 32827-7592
City
Orlando
State
FL
Zip
32827-7592
Phone Number
321-332-6947
Fax Number
497-286-4515

License Information

License Number (1)
TBAJLDM-15-940i
License State (1)
PR
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
ACN1496
License State (2)
FL
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Olufunmilola A Olubukola, MD?

The NPI number of Dr. Olufunmilola A Olubukola, MD is 1609538016. It was assigned on October 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Olufunmilola A Olubukola, MD?

Dr. Olufunmilola A Olubukola, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number TBAJLDM-15-940i.

Where does Dr. Olufunmilola A Olubukola, MD practice?

The practice location is 1502 Village Oak Ln, Kissimmee, FL 34746-6558. The office can be reached at 407-627-0066 (phone) or 407-440-4054 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609538016 directly on the NPPES registry website.

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