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OMOSALEWA O. ADEWALE M.D.
Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1982640538
Individual Registrant: OMOSALEWA O. ADEWALE M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1150 N 35TH AVE SUITE 605 HOLLYWOOD, FL 33021-5424 US
Tel: 954-265-7925 Fax: 954-276-0279
Tel: 954-265-7925 Fax: 954-276-0279
Contact information for business:
1150 N 35TH AVE SUITE 605 HOLLYWOOD, FL 33021-5424 US
Tel: 954-265-7925 Fax: 954-276-0279
Tel: 954-265-7925 Fax: 954-276-0279
Registration Information:
NPI: 1982640538
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207RC0000X | Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease | FL | 124297 |
| N | 207RC0000X | Allopathic & Osteopathic Physicians Internal Medicine | TX | M2997 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 179045301 | TX | 05 | |
| BCBS OF TEXAS | 8P0282 | TX | 01 |
