Adedimeji Victor Adepoju, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brooksville, FL
NPI 1871295501 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1871295501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 11371 Cortez Blvd Ste 219
Brooksville, FL 34613-5408 - Phone
- (352) 592-7310
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Largo Physician Group, LLC | Current |
Accepting new patients | |
| Largo Physician Group, LLC | Current |
Accepting new patients |
Locations
11371 Cortez Blvd
Ste 219
Brooksville, FL 34613
Phone (352) 592-2753
Interoperability endpoints
- adedimeji.adepoju@hca4.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
11371 Cortez Blvd Ste 219
Brooksville, FL 34613-5408
Mailing address
11371 Cortez Blvd Ste 219
Brooksville, FL 34613-5408
Phone (352) 592-7310
Other providers in Brooksville, FL
- Janet Lynn Acker
- Kirsy Acosta-Ortiz
- Ryan Adamov
- Adel a Bishay MD PA
- Deborah Ann Adell
- Rashad Adil
- Adjust-Care LLC
- Dean R Adkins
- Advance Gastroenterology and Pulmonary Care PL
- Advanced Cancer Treatment Centers LLC
All providers in Brooksville, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.