Mrs. Moriamo Bukola Okegbenro
Nurse Practitioner (Family)

Address: 12505 Nw 23rd Ave, Miami, FL 33167-1956
Phone: 7862028100

Mrs. Moriamo Bukola Okegbenro (NPI# 1386264588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1386264588
Entity Type Individual
Full Name Mrs. Moriamo Bukola Okegbenro
Credential APRN
Gender Female
Practice Address 12505 Nw 23rd Ave
FL 33167-1956
Practice Telephone 7862028100
Mailing Address 12505 Nw 23rd Ave
FL 33167-1956
Mailing Telephone 7862028100
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-17
Last Update Date 2020-04-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163W00000X Registered Nurse Nursing Service Providers 9290136 FL
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 11005830 FL

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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Office Location

Street Address 12505 NW 23RD AVE
State FL
Zip Code 33167-1956

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487183711 Yusleydi Almaguer Behavior Analyst 1205 Nw 116 Terr, Miami, FL 33167 2017-06-09
1952833477 Lakeashi Lewis Custodial Care Facility 11910 N.w 19 Ave. #a, Miami, FL. 33167 2017-04-03
1326499617 Roilan Hernandez Behavior Technician 12525 Nw 18th Ct, Miami, FL 33167 2016-06-28
1083064497 Sierra Watkins Behavior Analyst 15710 Nw 37th Place, Miami, FL 33167 2016-06-16
1790022093 Adryanas Tech Codding One Corp Contractor 1363 Nw118th St, Miami, FL 33167 2013-01-08
1366574220 Jose M Jules Respiratory Therapist, Certified 14611 Nw 13rd, Miami, FL 33167 2007-03-09
1881614212 Synergy Pharmacy & Medical Supplies Durable Medical Equipment & Medical Supplies 1543 Nw 119 St, Miami, FL 33167 2006-07-20
1255362877 Phanord & Associates Pa Dentist 1245 Nw 119 St, Miami, FL 33167 2006-07-05
1194761213 Mary Cecilia Crosby Dentist 1245 Nw 119th Street, North Miami, FL 33167 2006-06-20
1669998605 Whitney Victoria Drayton Pharmacist 6200 Nw 7th Ave, Miami, FL 33167 2017-08-22
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Zip Code 33167

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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.