Basic Information
| Provider Information | |||||||||
| NPI: | 1740445139 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AKINTADE | ||||||||
| FirstName: | SOLAIDE | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 618 E SOUTH ST | ||||||||
| Address2: | STE 500 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328012986 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 15302 PINE TREE WAY | ||||||||
| Address2: | |||||||||
| City: | BOWIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207213026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028657151 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2008 | ||||||||
| LastUpdateDate: | 05/29/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | MD046770 | DC | N | Allopathic & Osteopathic Physicians | General Practice | 208D00000X | ME138057 | FL | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.