Provider Demographics
NPI:1033118963
Name:SOKOYA, YEJIDE OLABISI (MD)
Entity Type:Individual
Prefix:
First Name:YEJIDE
Middle Name:OLABISI
Last Name:SOKOYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 N LEMANS BLVD
Mailing Address - Street 2:UNIT 6419
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1122
Mailing Address - Country:US
Mailing Address - Phone:404-276-3322
Mailing Address - Fax:
Practice Address - Street 1:2021 N LEMANS BLVD
Practice Address - Street 2:UNIT 6419
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1122
Practice Address - Country:US
Practice Address - Phone:404-276-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102913207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0004656-00Medicaid
FLBE949ZMedicare PIN
FLH08261Medicare UPIN