MS. OLUDARA OMOBOLA AMOLE


Address: 4105 Pembroke Rd, Hollywood, FL 33021-8103
Phone: 9542658400

MS. OLUDARA OMOBOLA AMOLE (NPI# 1962769901) 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) 1962769901
Entity Type Individual
Full Name MS. OLUDARA OMOBOLA AMOLE
Credential M.D
Practice Address 4105 Pembroke Rd
Hollywood
FL 33021-8103
Mailing Address 2900 Corporate Way
Door D
Miramar
FL 33025-3925
Practice Telephone 9542658400
Practice Fax Number 9549852295
Mailing Telephone 9542765685
Mailing Fax Number 9549857074
Enumeration Date 2012-04-16
Last Update Date 2020-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME126897 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 4105 PEMBROKE RD
City HOLLYWOOD
State FL
Zip Code 33021-8103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821070061 All Womens Healthcare Inc Advanced Practice Midwife 4105 Pembroke Rd, Hollywood, FL 33021-8103 2005-11-15
1508372939 John Edmund Gall Pharmacist 4105 Pembroke Rd, Hollywood, FL 33021-8103 2017-12-21
1093116592 Akilah A Quallo Nurse Practitioner 4105 Pembroke Rd, Hollywood, FL 33021-8103 2014-09-16
1982047056 Janelle Smith Pharmacist 4105 Pembroke Rd, Hollywood, FL 33021-8103 2013-04-09
1790128973 Arul P Chacko Pharmacist 4105 Pembroke Rd, Hollywood, FL 33021-8103 2013-04-08
1891036224 Steven Nemeroff I Pharmacist 4105 Pembroke Rd, Hollywood, FL 33021-8103 2013-03-11
1740528744 Annamma Udaya Thomas Nurse Practitioner 4105 Pembroke Rd, Hollywood, FL 33021-8103 2013-01-25
1528324555 Maheen Faridi Family Medicine 4105 Pembroke Rd, Hollywood, FL 33021-8103 2012-04-04
1811281892 Carla Brutus Nurse Practitioner 4105 Pembroke Rd, Hollywood, FL 33021-8103 2011-06-07
1568689156 Jennifer Michelle Goldman Family Medicine 4105 Pembroke Rd, Hollywood, FL 33021 2007-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548893894 Seminole Tribe of Florida Health Department Pharmacy 111 W. Coral Way, Hollywood, FL 33021 2020-02-14
1437714086 Emilia Roxana Gucciardo Physician Assistant 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 2019-05-08
1649763673 Sabrina Shoba Mathura Behavior Technician 4400 Madison St, Hollywood, FL 33021 2018-06-13
1558850149 South Broward Hospital District Pediatrics 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 2018-05-09
1942798368 Kyndra Monique Liburd Student in an Organized Health Care Education/Training Program Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 2018-05-01
1992292106 Madeleine Mariela Reyes Nurse Practitioner 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 2018-04-13
1487168233 Gynecologic Oncology & Urogynecology Obstetrics & Gynecology 1150 N 35th Ave Ste 670, Hollywood, FL 33021 2017-11-30
1245743012 Healix Healthcare Services, LLC Obstetrics & Gynecology 3990 Sheridan St Ste 207, Hollywood, FL 33021 2017-11-14
1093233587 Benjamin Laborde Physical Therapy Assistant 4200 Washington Street, Hollywood, FL 33021 2017-09-05
1477079358 Tt Trans, LLC Non-emergency Medical Transport (VAN) 3550 Washington Street, 502, Hollywood, FL 33021 2017-08-22
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629694203 Oaks Medical Group, LLC Internal Medicine 2854 Jackson St, Hollywood, FL 33020 2020-06-19
1699265363 Primary Care Physicians of Hollywood, Pl Internal Medicine 3700 Washington St Ste 203, Hollywood, FL 33021-8249 2018-05-17
1174048433 Robert Terry Smith Internal Medicine 1530 Seagrape Way, Hollywood, FL 33019-4862 2017-08-08
1528425204 Jody Ritter Internal Medicine 3700 Washington St Ste 500a, Hollywood, FL 33021-8256 2016-01-26
1639534787 Renovo Medical Consulting Internal Medicine 4770 Stono Links Dr, Hollywood, SC 29449-5984 2015-12-16
1669849741 Anay Puntonet Internal Medicine 3700 Washington St Ste 305, Hollywood, FL 33021-8249 2015-08-25
1861898843 Metamorphosis Medispa & Wellness Center Internal Medicine 2104 Tyler St, Hollywood, FL 33020-6717 2014-11-18
1053720243 Foundation for Sickle Cell Disease Research Internal Medicine 3858 Sheridan St Ste S, Hollywood, FL 33021-3625 2014-08-12
1487096210 Murray Neil Cohen Internal Medicine 2820 Fairway Dr, Hollywood, FL 33021-2937 2013-07-22
1942555107 Luis M Gonzalez Sr. Internal Medicine 1200 S Federal Hway, Lux Medical Health Center, Hollywood, FL 33020 2012-07-13
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Competitor

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City HOLLYWOOD
Zip Code 33021

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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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