Provider Demographics
NPI:1972017093
Name:AKINPELU, OLUFUNMILAYO (ARNP-BC)
Entity type:Individual
Prefix:
First Name:OLUFUNMILAYO
Middle Name:
Last Name:AKINPELU
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 SW 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-1553
Mailing Address - Country:US
Mailing Address - Phone:954-464-7110
Mailing Address - Fax:
Practice Address - Street 1:2200 GLADES RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7309
Practice Address - Country:US
Practice Address - Phone:561-208-7444
Practice Address - Fax:561-394-3370
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9326117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily