| The Oshodi Foundation | |
|
1065 Ne 125th St Ste 317a North Miami FL 33161-5833 | |
| (305) 636-2627 | |
| Not Available |
| Full Name | The Oshodi Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1065 Ne 125th St Ste 317a, North Miami, Florida |
| Authorized Official Name and Position | John Egbeazien Oshodi (PRESIDENT) |
| Authorized Official Contact | 3056362627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Oshodi Foundation 1065 Ne 125th St Ste 317a North Miami FL 33161-5833 Ph: (305) 636-3262 | The Oshodi Foundation 1065 Ne 125th St Ste 317a North Miami FL 33161-5833 Ph: (305) 636-2627 |
| NPI Number | 1295416089 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Medicare PECOS PAC ID | 9537518212 |
|---|---|
| Medicare Enrollment ID | O20231206001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295416089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | John E Oshodi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881798932 PECOS PAC ID: 7517316292 Enrollment ID: I20231206002048 |
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