Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Oluyemi Omoniyi Omotoso, MD

Individual provider Emergency Medicine Physician · NPI 1184116261

Dr. Oluyemi Omoniyi Omotoso, MD is an Emergency Medicine in Jacksonville, Florida. Qualified in 2015, 11 years ago. Practices with Paragon Emergency Services LLC, a 406-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
11
Licensed in
FL, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 — (904) 639-8500
  • 234 E 149th St, Bronx, NY 10451-5504 — (718) 579-5000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME155042 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 313133 (NY)

Record details

NPI number1184116261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Paragon Emergency Services Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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