Provider Demographics
NPI:1326550252
Name:OLANREWAJU, SAADATU OLUWAFUNMILAYO (PA)
Entity Type:Individual
Prefix:
First Name:SAADATU
Middle Name:OLUWAFUNMILAYO
Last Name:OLANREWAJU
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3600 SW 19TH AVE APT 45
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-4133
Mailing Address - Country:US
Mailing Address - Phone:912-433-2270
Mailing Address - Fax:
Practice Address - Street 1:13770 PLANTATION RD STE 3
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4460
Practice Address - Country:US
Practice Address - Phone:941-444-0011
Practice Address - Fax:603-952-3900
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2024-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9110893363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant