EMMANUEL O OKELOLA


Address: 89 W Copeland Dr, Orlando, FL 32806-2002
Phone: 3218417550

EMMANUEL O OKELOLA (NPI# 1386295574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386295574
Entity Type Individual
Full Name EMMANUEL O OKELOLA
Credential PA-C
Practice Address 89 W Copeland Dr
Orlando
FL 32806-2002
Practice Telephone 3218417550
Practice Fax Number 3218418185
Mailing Telephone 3218417550
Mailing Fax Number 3218418185
Enumeration Date 2019-09-27
Last Update Date 2020-01-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 9112549 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9112549 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 104577400 05

Office Location

Street Address 89 W COPELAND DR
City ORLANDO
State FL
Zip Code 32806-2002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023013737 George John Haidukewych Orthopaedic Surgery 89 W Copeland Dr, 3rd Floor, Orlando, FL 32806-2028 2005-06-17
1194344929 Ryan Findlay Student in an Organized Health Care Education/Training Program 89 W Copeland Dr, Orlando, FL 32806-2002 2020-04-12
1518586593 Susan Rifai Student in an Organized Health Care Education/Training Program 89 W Copeland Dr, Orlando, FL 32816-2002 2020-04-10
1821617044 April Simforoza Rutherford Student in an Organized Health Care Education/Training Program 89 W Copeland Dr, Orlando, FL 32806-2002 2020-04-09
1386263424 Hannah Hong Student in an Organized Health Care Education/Training Program 89 W Copeland Dr, Orlando, FL 32806-2002 2020-04-09
1124647326 Carlos Eduardo Linares Student in an Organized Health Care Education/Training Program 89 W Copeland Dr, Orlando, FL 32806-2002 2020-04-09
1760001960 Marcella Riley Student in an Organized Health Care Education/Training Program 89 W Copeland Dr, Orlando, FL 32806-2002 2020-04-09
1730711151 Jack Hanson Anzilotti Physician Assistant 89 W Copeland Dr, Orlando, FL 32806-2002 2020-02-05
1255988150 Justin Daniel Murray Physician Assistant 89 W Copeland Dr, Orlando, FL 32806-2002 2019-08-25
1033774864 Lindsey Duncan Physician Assistant 89 W Copeland Dr, Orlando, FL 32806 2019-05-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710585674 Erika Williams Pharmacist 2715 South Orlando Ave, Orlando, FL 32806 2020-10-13
1013545664 Johanna Yadira Cook Registered Nurse Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 2020-03-30
1396372306 Warren Andrew Williams Student in an Organized Health Care Education/Training Program 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 2020-03-27
1225665433 Astrid Helen Casin Student in an Organized Health Care Education/Training Program 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 2020-03-26
1508404211 Hidden Potential Florida LLC Assistant Behavior Analyst 2857 South Bumby Avenue, Orlando, FL 32806 2019-12-12
1720639883 Cynthia Lee Kling Clinical Nurse Specialist Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 2019-09-20
1033769930 Darleen Ann Williams Clinical Nurse Specialist 52 W. Underwood, Orlando, FL 32806 2019-09-13
1508412644 Trischaday Kimberley Demetrius Nurse Practitioner Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 2019-08-14
1962964809 Ajc Software Inc Prosthetic/Orthotic Supplier 1405 South Orange Avenue Suite 308, Orlando, FL 32806 2019-04-01
1598232852 Sodo Smiles Dentistry, Pa Dentist 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 2018-10-25
Find all providers in zip 32806

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
1750843405 Heather Louise Anderson Physician Assistant 5422 Lewiston St, Orlando, FL 32812 2019-04-02
1649600891 Raul F Velez Physician Assistant 14139 Budworth Cir, Orlando, FL 32832-6123 2013-11-24
1255630075 Joleen Chapman Physician Assistant 122 Annie St, Orlando, FL 32806-1214 2011-03-18
1124354600 Tiffany M Murray Physician Assistant 83 W Copeland Dr, Orlando, FL 32806-2002 2009-10-19
1225277825 M Catherine Broderick Physician Assistant 1720 S Cook Avenue, Orlando, FL 32808 2009-02-05
1033360938 Monica M Rivera Physician Assistant 2591 Carrickton Cir, Orlando, FL 32824-4217 2008-10-09
1316104383 Michele D Young Physician Assistant 3802 Oakwater Cir Ste 3, Orlando, FL 32806-6200 2008-05-19
1033162011 Southeastern Clinical Services,inc. Physician Assistant 4215 Edgewater, Orlando, FL 32804 2006-05-18
1386696631 Kevin P Kingsley Physician Assistant 2501 N Orange Ave Ste 411, Orlando, FL 32804-4644 2006-05-16
Find all providers in ORLANDO

Competitor

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City ORLANDO
Zip Code 32806

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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.

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