Search › Florida › 207R00000X
Tinuade Olusegun, M.D
NPI 1760649917 · on the registry since 2008
Practice
- Address
- 4645 Clyde Morris Blvd Ste 404
Port Orange, FL 32129 - Phone
- (386) 855-8633
- Fax
- (855) 857-5810
- Organisation at this address
- Verdure Exclusive Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 12443 San Jose Blvd Ste 204, Jacksonville, FL
- 12915 Jones Maltsberger Rd Ste 102, San Antonio, TX
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- TX, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida