Provider Demographics
NPI:1881449692
Name:OKUBOYE, RASHIDAT N (MA, CPT)
Entity type:Individual
Prefix:
First Name:RASHIDAT
Middle Name:N
Last Name:OKUBOYE
Suffix:
Gender:F
Credentials:MA, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 FULLER DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-1928
Mailing Address - Country:US
Mailing Address - Phone:727-303-8787
Mailing Address - Fax:
Practice Address - Street 1:40148 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-8333
Practice Address - Country:US
Practice Address - Phone:727-303-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL640918060014246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy