Provider Demographics
NPI:1568400943
Name:DUROJAIYE, BABATOLA (MD)
Entity Type:Individual
Prefix:
First Name:BABATOLA
Middle Name:
Last Name:DUROJAIYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NEW TAMPA
Other - Middle Name:MEDICAL
Other - Last Name:CENTER P.A.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 151376
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33684-1376
Mailing Address - Country:US
Mailing Address - Phone:813-615-2488
Mailing Address - Fax:813-615-2504
Practice Address - Street 1:5381 PRIMROSE LAKE CIRCLE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647
Practice Address - Country:US
Practice Address - Phone:813-615-2488
Practice Address - Fax:813-615-2504
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257284200Medicaid
E2080YOtherMEDICARE
FL257284200Medicaid