OLAMIDE O BORISADE


Address: 4870 Deer Lake Dr E Ste 1114, Jacksonville, FL 32246-6301
Phone: 9048660148

OLAMIDE O BORISADE (NPI# 1538778527) 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) 1538778527
Entity Type Individual
Full Name OLAMIDE O BORISADE
Credential RN BSN
Practice Address 4870 Deer Lake Dr E Ste 1114
Jacksonville
FL 32246-6301
Practice Telephone 9048660148
Mailing Telephone 9048660148
Enumeration Date 2020-07-27
Last Update Date 2020-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
RN9581220 FL Nursing Service Providers

Office Location

Street Address 4870 DEER LAKE DR E STE 1114
City JACKSONVILLE
State FL
Zip Code 32246-6301

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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1033389457 Cynthia Lee Probasco Registered Nurse 636 Maynard Blvd, Jacksonville, NC 28546-9106 2008-03-03
1487264636 Heidi Marie Rebholz Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-08-03
1811523665 Jasmine Burch Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2020-03-12
1013553650 Bradley James Wine Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2019-11-19
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1205392024 Michele Pappargeris Registered Nurse 800 Prudential Dr, Jacksonville, FL 32207-8202 2019-02-17

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Competitor

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City JACKSONVILLE
Zip Code 32246

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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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