Balogun, Moriam O

Balogun, Moriam O is an sole proprietor health care provider with primary practice located at 3302 Sawtooth Dr , Tallahassee FL 32303-7368. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Balogun, Moriam O can be contacted via phone (850) 339-2952.

Contact Information

Primary practice address
3302 Sawtooth Dr Tallahassee FL 32303-7368
Phone: (850) 339-2952
Fax: (850) 339-2952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9355877 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9355877 Florida

Profile Details

NPI number 1932637931
LBN Legal business name Balogun, Moriam O
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2017
Last updated Jun 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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