Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Osayande Stephen Izeiyamu, MD

Individual provider Family Medicine Physician · NPI 1255698619

Dr. Osayande Stephen Izeiyamu, MD is a Family Medicine Physician in Lake City, Florida. Practices as a sole proprietor. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2012
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

194 SW Wall Ter
Lake City, FL 32025-5086
Phone: (386) 719-9227
Fax: (386) 719-9488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN634 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence BP10043366 (TX)

Record details

NPI number1255698619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2012
Last updated in NPPESJanuary 20, 2016

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