Adetokunbo Awojulu (NPI# 1194081851, PAC ID# 2466755475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1194081851 |
| PAC ID by PECOS | 2466755475 |
| Professional Enrollment ID | I20160126001374 |
| Full Name | Adetokunbo Awojulu |
| Organization Legal Name | LAKE SHORE HMA MEDICAL GROUP LLC |
| Address |
368 Ne Franklin St Lake City FL 32055-3088 |
| Phone Number | 3862928000 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0941334841 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101301 | SHANDS LIVE OAK REGIONAL MEDICAL CENTER |
| 100102 | SHANDS LAKE SHORE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 368 Ne Franklin St, Lake City, FL 32055-3088 | 3862928000 | LAKE SHORE HMA MEDICAL GROUP LLC |
| Organization Legal Name | LAKE SHORE HMA MEDICAL GROUP LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Michael Ukaegbu | Internal Medicine | Lake Shore Hma Medical Group LLC | 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Ines Rodriguez | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 221 Sw Stonegate Ter, Suite 101, Lake City, FL 32024-3463 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Jennifer Scott | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Eric Marquez | Obstetrics/gynecology | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Carlos Reyes | Internal Medicine | Lake Shore Hma Medical Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Street Address |
368 NE FRANKLIN ST |
| City | LAKE CITY |
| State | FL |
| Zip | 32055-3088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia B Magrini | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Sandra Asher | Nurse Practitioner | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Daniel R Fields | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Joshua H Thomas | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Amit K Sanghi | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Jennifer Scott | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| David C Burdette | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Michael T Munson | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Carlos Reyes | Internal Medicine | Lake Shore Hma Medical Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Linda C Restea | Certified Registered Nurse Anesthetist | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in zip 32055 | |||
| City | LAKE CITY |
| Zip Code | 32055 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LAKE CITY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Adetokunbo Awojulu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.