Individual
DR. ADEBISI M. AJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3600
(904) 396-1630
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME97225
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME97225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276858500
—
FL
05
—
690331035A
—
GA
Enumeration date
11/02/2006
Last updated
10/24/2018
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