OMOTAYO FAWIBE MD LLC NPI 1295494029

NPI Information

OMOTAYO FAWIBE MD LLC is a preventive medicine/occupational environmental medicine preventive medicine in Fort Wayne, IN. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. OMOTAYO FAWIBE MD LLC NPI is 1295494029. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14726 AMERA CIR
FORT WAYNE, IN
ZIP 46845-027
Phone: (832) 606-7941

The provider's authorized official is Omotayo Fawibe .
The authorized official title is Owner and has the following contact phone number (832) 606-7941.

The enumeration date for this NPI number is 12/9/2021 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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