DR. OSAYANDE STEPHEN IZEIYAMU


Address: 194 Sw Wall Ter, Lake City, FL 32025-5086
Phone: 3867199227

DR. OSAYANDE STEPHEN IZEIYAMU (NPI# 1255698619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255698619
Entity Type Individual
Full Name DR. OSAYANDE STEPHEN IZEIYAMU
Credential MD
Practice Address 194 Sw Wall Ter
Lake City
FL 32025-5086
Practice Telephone 3867199227
Practice Fax Number 3867199488
Mailing Telephone 3867199227
Mailing Fax Number 3867199488
Enumeration Date 2012-04-23
Last Update Date 2016-01-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine BP10043366 TX Allopathic & Osteopathic Physicians
Y 208D00000X General Practice ACN634 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 014632400 05

Office Location

Street Address 194 SW WALL TER
City LAKE CITY
State FL
Zip Code 32025-5086

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801438353 Jennifer Bennett Pharmacist 347 Sw Main Blvd Suite 102, Lake City, FL 32025 2019-10-16
1700352838 Robert J Sansouci IIi IIi Physical Therapy Assistant 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 2018-10-16
1316442783 Emily Bailey Developmental Therapist 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 2018-03-28
1811446370 Michelle Hart Behavioral Analyst 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 2016-09-26
1922467646 Irene Aponte Moreno Nurse Practitioner 440 Sw Perimeter Glen, Lake City, FL 32025 2016-02-23
1093186777 Decarlos Scippio Counselor 619 Sw Baya Drive Suite 102, Lake City, FL 32025 2015-10-07
1497132476 Jamecia Legree Registered Nurse 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 2015-04-29
1306249149 Mercy Home Assisted Living Facility LLC Assisted Living Facility 184 S.e. Beech Street, Lake City, FL 32025 2014-10-08
1598174344 Karen Mcdonald Developmental Therapist 4523 Se County Road 252, Lake City, FL 32025 2014-08-06
1275944126 Mohammad Ali Faisal Mdpa Specialist 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 2014-05-14
Find all providers in zip 32025

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649836560 Karimar Loumyr Sanchez General Practice 1037 W Us Highway 90 Ste 130, Lake City, FL 32055-3740 2019-05-16
1962835306 Origins Family Medical & Weight Loss Clinic Inc General Practice 206 S Marion Ave, Lake City, FL 32025-7058 2013-08-20
1407062391 Jose Raul Garriga-diaz I General Practice 7906 E Us Highway 90, Lake City, FL 32055-6290 2007-05-15
1790900447 Leopold Bejamin Leblique General Practice 264 Sw Ridgeview Pl., Lake City, FL 32024 2007-04-16
1013061456 Donald Brent Hayden General Practice 733 Sw State Road 47, Lake City, FL 32025-0453 2007-01-23
1093376139 Complete Medical Group General Practice 444 Sw Alachua Ave, Lake City, FL 32025-5213 2019-06-27
1326373606 Brent Hayden, M.d.,p.a. General Practice 733 Sw State Road 47, Lake City, FL 32025-0453 2009-10-05
1477791465 Karymar Del Valle Serrano General Practice 619 S Marion Ave, Lake City, FL 32025-5808 2009-01-28
1043495427 Advanced Medical Clinics, P.C. General Practice 5499 Jonesboro Rd, Lake City, GA 30260-3553 2008-01-04
1134186455 Carolinas Medical Alliance Inc General Practice 101 John St, Lake City, SC 29560-2411 2006-04-28
Find all providers in LAKE CITY

Competitor

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City LAKE CITY
Zip Code 32025

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Dataset Information

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.

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