Provider Demographics
NPI:1891113932
Name:OLALEYE, OLAMIJU (APRN)
Entity Type:Individual
Prefix:
First Name:OLAMIJU
Middle Name:
Last Name:OLALEYE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:OLAMIJU
Other - Middle Name:
Other - Last Name:OLALEYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:716 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3627
Mailing Address - Country:US
Mailing Address - Phone:727-238-3241
Mailing Address - Fax:727-238-8402
Practice Address - Street 1:1209 E CUMBERLAND AVE UNIT 901
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4258
Practice Address - Country:US
Practice Address - Phone:347-331-7748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-05
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9255338363L00000X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily