Individual provider · NPI-1
Dr. Norman Ajiboye, MD
Psychiatry & Neurology, Vascular Neurology · Hollywood, FL
NPI number1487823720
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1487823720
- Entity type
- Individual (NPI-1)
- Name
- Dr. Norman Ajiboye
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2008
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology, Vascular Neurology | ME147998 | FL | Yes |
| 207T00000X | Neurological Surgery | 390200000 | NC | |
| 207T00000X | Neurological Surgery | R1484 | TX |
Practice location
1150 N 35th Ave Ste 300Hollywood, FL 33021-5428
Phone 954-265-1490 · Fax 954-265-9779
Mailing address
2900 Corporate WayDoor D
Miramar, FL 33025-3925
Phone 954-276-5685 · Fax 954-985-7074
Other practice locations
601 N Flamingo Rd Ste 206
Pembroke Pines, FL 33028-1009
Pembroke Pines, FL 33028-1009
Phone 954-844-6825 · Fax 954-499-1227
909 Walnut St
Philadelphia, PA 19107-5211
Philadelphia, PA 19107-5211
Phone 215-955-7000
909 9th Ave Ste 201
Fort Worth, TX 76104-3916
Fort Worth, TX 76104-3916
Phone 972-566-5411
909 Walnut St
Philadelphia, PA 19107-5211
Philadelphia, PA 19107-5211
Phone 215-955-7000
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