Individual ProviderOluwole PitanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9835 E Hibiscus St, Palmetto Bay, FL 33157-5406(305) 238-8561(786) 201-6249PECOS EnrollmentBased on the most recent information from CMS, provider Oluwole Pitan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831548213Provider TypeIndividualFull NamePitan, OluwoleTitleMr.CredentialARNP-BCGenderMaleSole ProprietorYesEnumeration Date6/7/2016Last Updated5/6/2025Contact InformationPractice LocationPractice Address9835 E Hibiscus St, Palmetto Bay, FL 33157-5406Phone(305) 238-8561Fax(305) 238-4089Mailing LocationMailing Address10122 SW 139th St, Miami, FL 33176-6682Phone(786) 201-6249FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9328218FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense9328218FloridaCode363LP0808XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9328218FloridaCode376G00000XDescriptionNursing Home AdministratorNursing Service Related ProvidersLicense9328218Florida