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Olatunde
Olatunde
Fatinikun
Manager
Medical doctor
Brandon,
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Florida Health Care Practitioner Data Portal
Full name
Olatunde Fatinikun
Job Title
Medical Doctor
Location
Brandon, FL, USA
LIC ID
159267
Current License Expiration Date
31/01/2026
Original Date
28/06/2022
Professional Rank Code
ME
Effective Date
28/06/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
141 N Oakwood Avenue
Practice Location Address City
BRANDON
Practice Location Address State
FL
Practice Location Address Zipcode
33510
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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