HENRY A ODUKOMAIYA MD PA
Osteopathic Medicine at Cove Bend Dr, Tampa, FL

License number
Florida ME68789
Category
Osteopathic Medicine
Type
Adult Medicine
Owner
Name: DR. HENRY A ODUKOMAIYA MD
Title: OWNER
Phone: (813) 971-5800
Address
Address
3228 Cove Bend Dr, Tampa, FL 33613
National Provider ID: 1386880318
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Henry A. Odukomaiya, M.D., PA

Tampa, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jun 2, 1998
Addresses:
PO Box 47535, Tampa, FL 33646
5208 E Fowler Ave, Tampa, FL 33617
3228 Cv Bnd Dr, Tampa, FL 33613
State ID:
P98000049993
Business type:
Domestic for Profit Corporation
Director:
Henry A. Odukomaiya Director, inactive

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