DAVID IKUDAYISI, MD, PA

TAMPA, FL
NPI1801892963
Doing Business AsGLORY MEDICAL CENTER & WEIGHT LOSS CLINIC
Entity TypeOrganization
Authorized ContactDAVID OMOTAYO IKUDAYISI
President/Owner
813-932-9798
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: FL  ME 87841)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  ME 87841)
Enumeration Date2005-06-23
Last Update Date2007-10-30
Business Address
DAVID IKUDAYISI, MD, PA
3651B W WATERS AVE
TAMPA, FL 33614-2783
Phone number: 813-932-9798
Mailing Address
DAVID IKUDAYISI, MD, PA
PO BOX 272450
TAMPA, FL 33688-2450
Phone number: