Henry a Odukomaiya MD PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME68789 Issued in FL

Legal business name

HENRY A ODUKOMAIYA MD PA

Practice address

3228 Cove Bend Dr
Tampa, FL 33613-2752

Phone

(813) 971-5800

NPI assigned

Dec 22, 2008

Last updated

Dec 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Henry A Odukomaiya, MD

Title

Owner

Phone

(813) 971-5800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1386880318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-971-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-971-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY A ODUKOMAIYA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "ODUKOMAIYA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-971-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME68789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidisneyvis Henrique Benitez
• Tarique Henriques, DPT
• Eliana Henriquez
• Penelope Cristina Henriquez, PHARMD
• Sergimar Rosaly Henriquez
• Henry a Redmon, M.D., P.a.
• Henry E Wiley III MD PA
• Henry Fate Corporation (Home Helpers Home Health)
• Henry J O'Neal, M.D.,P.a.
• Acquanetta Marie Henry, D.P.T

• Adult Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.