Provider Demographics
NPI:1659260404
Name:OKOINYAN, TINUADE
Entity type:Individual
Prefix:
First Name:TINUADE
Middle Name:
Last Name:OKOINYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8920 SW 222ND TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1290
Mailing Address - Country:US
Mailing Address - Phone:796-499-8786
Mailing Address - Fax:
Practice Address - Street 1:8920 SW 222ND TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1290
Practice Address - Country:US
Practice Address - Phone:796-499-8786
Practice Address - Fax:796-499-8786
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028496363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care