Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 84664 | FL |
NPI | 1215915152 |
---|---|
Provider Name | Dr. Akinyemi Olutoye Ajayi |
First Address | Winter Park, FL 32789-3385 |
Second Address | Winter Park, FL 32789-3385 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 01/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
265151300 | (05) | FL |
H25594 | (02) |