Provider Demographics
NPI:1508074923
Name:OLAOYE, ADETOUN O (MD)
Entity Type:Individual
Prefix:
First Name:ADETOUN
Middle Name:O
Last Name:OLAOYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADETOUN
Other - Middle Name:OLUYEMISI
Other - Last Name:ADELEYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2813 SW 106TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-9161
Mailing Address - Country:US
Mailing Address - Phone:443-413-8472
Mailing Address - Fax:
Practice Address - Street 1:150 SE 17TH ST STE 801
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7100
Practice Address - Country:US
Practice Address - Phone:352-240-8555
Practice Address - Fax:866-507-5443
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME130336207R00000X, 207RI0200X
PAMD434932207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022239480002Medicaid
146589FUWMedicare PIN