Individual provider · Type 1 NPI

Osayande Stephen Izeiyamu, MD

General Practice Physician · Lake City, FL

NPI number 1255698619 Active

Practice location

194 SW Wall Ter
Lake City, FL 32025-5086

Fax (386) 719-9488

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XBP10043366 (TX)
General Practice Physician Primary 208D00000XACN634 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1255698619

Osayande Stephen Izeiyamu, MD's National Provider Identifier is 1255698619, issued on Apr 23, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake City, FL. The record was last updated on Jan 20, 2016.