DR. AMOS OLABISI DARE (NPI# 1063500015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063500015 |
| Entity Type | Individual |
| Full Name | DR. AMOS OLABISI DARE |
| Other Name | NONE NONE |
| Credential | M.D. |
| Practice Address |
544 Cesery Blvd Suite 310 Jacksonville FL 32211 |
| Mailing Address |
8185 Via Ancho Rd Unit 880347 Boca Raton FL 33488 |
| Practice Telephone | 9047439222 |
| Practice Fax Number | 9047439225 |
| Mailing Telephone | 5618440120 |
| Mailing Fax Number | 9047439225 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME91254 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271212100 | 05 |
| Street Address |
544 CESERY BLVD SUITE 310 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1013436252 | Ryan N Pafford | Neurological Surgery | University of Florida Health, 580 West 8th Street, Tower 1, 8th Floor, Jacksonville, FL 32209 | 2017-09-19 |
| 1144586116 | Anil Kumar Roy | Neurological Surgery | 800 Prudential Dr Fl B11, Jacksonville, FL 32207-8202 | 2012-04-04 |
| 1437487709 | Andrew Brian Shaw | Neurological Surgery | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2009-11-25 |
| 1790965325 | Stephen Scott Scibelli | Neurological Surgery | 3627 University Blvd S Suite 355, Memorial Neurosurgery Group, Jacksonville, FL 32216 | 2007-11-12 |
| 1477754513 | Michael J Petr | Neurological Surgery | 7807 Baymeadows Rd E Ste 208, Jacksonville, FL 32256-9666 | 2007-05-29 |
| 1104911601 | Neurosurgery Consultants Pa | Neurological Surgery | 215 Station Street, Jacksonville, NC 28546 | 2006-10-03 |
| 1255373528 | Kaveh Barami | Neurological Surgery | 3627 University Boulevard South, Suite 355, Jacksonville, FL 32216-8030 | 2006-06-12 |
| 1295773943 | Sean Hsu | Neurological Surgery | 215 Station St, Jacksonville, NC 28546-6304 | 2006-06-03 |
| 1952390312 | Kent Christopher New | Neurological Surgery | 4205 Belfort Road, Suite 3075 Joe Adams Building, Jacksonville, FL 32216 | 2005-10-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.