| Doctor Name: | BABALOLA OLUSOLA OLUWOLE |
| NPI Number: | 1710033386 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 74212 |
| Business Practice Address: | 1010 S Edmonds Ln Lewisville, TX - 750674418 |
| Business Phone Number: | 9728290098 |
| Business Fax Number: | 9724360145 |
| Mailing Address: | 18207 Sweet Jasmine Dr, TAMPA |
| State: | FL |
| Postal Code: | 336472863 |
| Phone Number: | 8133004035 |
| Fax Number: | 8778606213 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 11/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 74212 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |