Dr Abimbola Odusanya, MD | |
13001 Southern Blvd, Loxahatchee, FL 33470-9203 | |
(561) 798-3300 | |
Not Available |
Full Name | Dr Abimbola Odusanya |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 13001 Southern Blvd, Loxahatchee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689660151 | NPI | - | NPPES |
06025 | Other | FL | MEDICARE CORE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME 82368 (Florida) | Primary |
Entity Name | Mercy Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
Mailing Address | Practice Location Address |
---|---|
Dr Abimbola Odusanya, MD 11131 Manderly Ln, Wellington, FL 33467-7404 Ph: () - | Dr Abimbola Odusanya, MD 13001 Southern Blvd, Loxahatchee, FL 33470-9203 Ph: (561) 798-3300 |
Mrs. Amy Zaron Aqua, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12955 Palms West Dr, Suite 100 Building 8, Loxahatchee, FL 33470 Phone: 561-798-2468 Fax: 561-798-2733 | |
Dr. Eric Austin Jorge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-345-7009 | |
Dr. John Lee Bankston Iii, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13001 Southern Blvd, Palm's West Hospital Nicu, Loxahatchee, FL 33470 Phone: 561-840-6220 | |
Martha C Holley, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12959 Palms West Dr, Suite 210, Loxahatchee, FL 33470 Phone: 561-795-3333 Fax: 561-791-3002 | |
Dr. Claudio A Ruiz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-798-3300 | |
Mrs. Andrea Chance Stark, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12955 Palms West Dr Ste 100, Loxahatchee, FL 33470 Phone: 561-509-5009 Fax: 561-798-2733 | |
Ana Napoles-ruiz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12957 Palms West Dr, Bldg 9, Suite 101, Loxahatchee, FL 33470 Phone: 561-795-5979 Fax: 561-795-9460 |