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Folake Osibanjo

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

Based on the most recent information from CMS, provider Folake Osibanjo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144651894
Provider Type
Individual
Full Name
Osibanjo, Folake
Credential
FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/5/2013
Last Updated
4/14/2023

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(727) 937-4203

Unlisted Fax

Mailing Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11015625 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 842651 Texas
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN252726 Georgia

Folake Osibanjo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Diaz, Alberto

Dixon, Pauline

Jauregui, Cintli America

Jones, Donna Lynn

Otero, Lisa Christine

Munzenmaier, Laura Sims

Clarke, Sabrina Renee

Wright-Cole, Jacqueline Navlett