Provider Demographics
NPI:1578586996
Name:FALODUN, OLUWATOYIN (MD)
Entity Type:Individual
Prefix:DR
First Name:OLUWATOYIN
Middle Name:
Last Name:FALODUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLUWATOYIN
Other - Middle Name:
Other - Last Name:FALODUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1 DAVIS BLVD STE 503
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3480
Mailing Address - Country:US
Mailing Address - Phone:813-627-5973
Mailing Address - Fax:
Practice Address - Street 1:1 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3463
Practice Address - Country:US
Practice Address - Phone:813-627-5973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93204207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine