Provider Demographics
NPI:1376886614
Name:ABIKOYE, TOLULOPE OLAKUNLE (MD MPH)
Entity Type:Individual
Prefix:
First Name:TOLULOPE
Middle Name:OLAKUNLE
Last Name:ABIKOYE
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 LEE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-5561
Mailing Address - Country:US
Mailing Address - Phone:407-732-7373
Mailing Address - Fax:407-723-4842
Practice Address - Street 1:904 LEE RD STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-5561
Practice Address - Country:US
Practice Address - Phone:407-732-7373
Practice Address - Fax:407-723-4842
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI64764-20207Q00000X
FLME142787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine