DR. ABIMBOLA ODUSANYA (NPI# 1689660151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689660151 |
| Entity Type | Individual |
| Full Name | DR. ABIMBOLA ODUSANYA |
| Other Name | MRS. ABIMBOLA SHAFAU |
| Credential | MD |
| Practice Address |
13001 Southern Blvd Loxahatchee FL 33470-9203 |
| Mailing Address |
11131 Manderly Ln Wellington FL 33467-7404 |
| Practice Telephone | 5617983300 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME 82368 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE CORE | 06025 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3000 Coral Hills Dr, Coral Springs Pediatrics Dept., Coral Springs, FL 330654108 | 9543443000 |
| Street Address |
13001 SOUTHERN BLVD |
| City | LOXAHATCHEE |
| State | FL |
| Zip Code | 33470-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794282 | Kesann Kina Dormand | Nurse Practitioner | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2020-06-10 |
| 1497374649 | Stephanie Lee Davenport | Student in an Organized Health Care Education/Training Program | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2020-04-08 |
| 1700415569 | Johanna Stephanie Arce | Student in an Organized Health Care Education/Training Program | 13001 Southern Blvd, Loxahatchee, FL 33470 | 2020-04-03 |
| 1184253114 | Guadalupe Silva | Student in an Organized Health Care Education/Training Program | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2020-04-02 |
| 1164051173 | Yaritza Naik Linares Lima | Student in an Organized Health Care Education/Training Program | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2020-04-02 |
| 1487282588 | Jennifer Giza | Student in an Organized Health Care Education/Training Program | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2020-04-01 |
| 1003444191 | Rachael Marie Cannon | Student in an Organized Health Care Education/Training Program | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2020-04-01 |
| 1740817543 | Kaitlin Karch | Registered Nurse | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2020-03-24 |
| 1497382238 | Annette Piszczatowski | Registered Nurse | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2020-03-23 |
| 1649821497 | Rashima Mckenzie | Home Health Aide | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638139 | Jang Nga Zeng | Physician Assistant | 5980 Kingfisher Blvd, Westlake, FL 33470 | 2020-01-16 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| 1952870818 | Luz Miryan Alexandra Torrente | Behavior Technician | 15932 75th Ln, Loxahatchee, FL 33470 | 2018-11-20 |
| 1508365495 | Simone E Mack | Counselor | 17334 W. Sycamore Dr., Loxahatchee, FL 33470 | 2018-02-06 |
| 1578083218 | Lugdie Marguerite Jonassaint | Registered Nurse | 14842-69 Street N., Treasured Lives Alf Inc C/o Lugdie Jonassaint, Loxahatchee, FL 33470 | 2017-06-23 |
| 1255877932 | Jose Desmarais | Nurse Practitioner | 12953 Palms West Dr Ste 102, Loxahatchee, FL 33470 | 2017-01-18 |
| 1457704314 | Premier Transitions Mht LLC | Internal Medicine | 17888 67th Court North, Loxahatchee, FL 33470 | 2016-07-15 |
| 1851747083 | Groves Dental Care P.a. | Clinic/Center | 15673 Southern Blvd., 109, Loxahatchee Groves, FL 33470 | 2016-05-06 |
| 1376959486 | Yun-long Chi | Acupuncturist | 12957 Palms West Dr Ste 201, Loxahatchee, FL 33470 | 2014-07-09 |
| 1629334081 | Kui-tzu Victoria Feng | Internal Medicine | 12957 Palms West Dr Ste 204, Loxahatchee, FL 33470 | 2012-04-10 |
| Find all providers in zip 33470 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962675769 | Dionne M Skervin | Pediatrics | 12955 Palms West Drive #100, Palm Beach Pediatrics, Pa, Loxahatchee, FL 33470-9212 | 2008-04-12 |
| 1093717514 | Jennifer Griffiths Riddle | Pediatrics | 12955 Palms West Dr Ste 100, Palm Beach Pediatrics, Pa, Loxahatchee, FL 33470-9212 | 2005-08-15 |
| 1700887049 | Sandra Smith Harmon | Pediatrics | 12955 Palms West Dr, Ste 100, Building 8, Loxahatchee, FL 33470-4993 | 2005-08-09 |
| 1932100237 | Jonell Young Mahoney | Pediatrics | 12983 Southern Blvd Ste 100, Loxahatchee, FL 33470-9254 | 2005-08-09 |
| 1639638919 | Dilsa Marie Souffrant | Pediatrics | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2019-03-17 |
| 1083102941 | Hoon Kim | Pediatrics | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2018-04-26 |
| 1659868966 | Adrien Carl Ennis | Pediatrics | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2018-04-23 |
| 1932697273 | Glenda Zamora | Pediatrics | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2018-04-23 |
| 1679072367 | Konstantin Chernitskiy | Pediatrics | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2018-02-07 |
| 1235686585 | Amy Maggard | Pediatrics | 13001 Southern Blvd, Loxahatchee, FL 33470-9203 | 2016-09-03 |
| Find all providers in LOXAHATCHEE | ||||
| City | LOXAHATCHEE |
| Zip Code | 33470 |
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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.