OLUFISAYO ARUBUOLA M D P A
Osteopathic Medicine at Prudential Dr, Jacksonville, FL

License number
Florida ME87521
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. OLUFISAYO E ARUBUOLA MD
Title: PRESIDENT
Phone: (904) 881-1242
Address
Address
800 Prudential Dr, Jacksonville, FL 32207
National Provider ID: 1710170113
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OLUFISAYO ARUBUOLA, M.D., PA

Jacksonville, FL

Industry:
Medical Doctor's Office
Doing business as:
Olufisayo Arubuola M D P A
Registration:
Oct 27, 2004
Addresses:
800 Prudential Dr, Jacksonville, FL 32207 (Physical)
Jacksonville, FL 32245 (Mailing)
PO Box 16574, Jacksonville, FL 32245
7927 Timberlin Park Blvd, Jacksonville, FL 32256
State ID:
P04000148059
Business type:
Florida Profit Corporation
Medical Doctor, President, Principal:
Olufisayo Arubuola (Medical Doctor, President, Principal), 7743 Watermark Ln, Jacksonville, FL 32256 (Physical)
Agent:
Arubuola, Olufisayo, Dr,800 Prudential Dr, Jacksonville, FL 32207 (Physical)
EIN:
510530402

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