Bolanle Adebiyi, MD
Individual provider Active NPI Pediatrics Physician · Ocala, FL
NPI 1386174357 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1386174357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME130997 (FL)
- Practice address
- 2801 SE 1St Ave Ste 102
Ocala, FL 34471-0478 - Phone
- (352) 505-1301
- Fax
- (352) 505-9846
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME130997 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyhigh Children Health LLC | Pediatrics | Current | Accepting new patients |
Locations
1202 SW 17th St
Ste 201
Ocala, FL 34471
2801 SE 1st Ave
Ste 102
Ocala, FL 34471
Phone (352) 505-1301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME130997 | FL | Yes |
Addresses
Primary practice location
2801 SE 1St Ave Ste 102
Ocala, FL 34471-0478
Mailing address
1202 SW 17TH St Ste 201
Ocala, FL 34471-1283
Phone (352) 505-1301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME130997 | Other | FL | MEDICAL LICENSE |
Other providers in Ocala, FL
- Leigh-Ana Adams
- Reed A Adams
- Tina Christine Adams
- Donald Adamson-Wanner
- Robin Adamson-Wanner
- Eric Andrew Adelman
- Joel Olusayo Adewuyi
- Chenora Netaschia Adjei-Christie
- Cheryl Dee Adkinson
- Adult Healthcare Corp
All providers in Ocala, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.