Provider Demographics
NPI:1447054838
Name:OLAOMI, OLUWATOBI ADEOLA (MBBS)
Entity type:Individual
Prefix:
First Name:OLUWATOBI
Middle Name:ADEOLA
Last Name:OLAOMI
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:OLUWATOBI
Other - Middle Name:ADEOLA
Other - Last Name:OGUNWOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:1611 NW 12TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-355-1122
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-355-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program