Individual provider · Type 1 NPI

Emmanuel O. Okelola, PA-C

Surgical Physician Assistant · Orlando, FL

NPI number 1386295574 Active

Practice location

89 W Copeland Dr
Orlando, FL 32806-2002

Fax (321) 841-8185

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X9112549 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9112549 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1386295574

Emmanuel O. Okelola, PA-C's National Provider Identifier is 1386295574, issued on Sep 27, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Jan 10, 2020.