Provider Demographics
NPI:1821108259
Name:TRIPLE O MEDICAL SERVICES PA
Entity Type:Organization
Organization Name:TRIPLE O MEDICAL SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OLAYEMI
Authorized Official - Middle Name:OLAJIDE
Authorized Official - Last Name:OSIYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-832-6770
Mailing Address - Street 1:2580 METROCENTRE BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3100
Mailing Address - Country:US
Mailing Address - Phone:561-832-6770
Mailing Address - Fax:561-832-3292
Practice Address - Street 1:2580 METROCENTRE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3100
Practice Address - Country:US
Practice Address - Phone:561-832-6770
Practice Address - Fax:561-832-3292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1999Medicare UPIN