Individual
OLUWATOSIN ADESOLA AJAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C ,IMG
Contact information
Practice address
28 PALMYRA LN, PALM COAST, FL 32164-7516
(386) 214-4823
Mailing address
28 PALMYRA LN, PALM COAST, FL 32164-7516
(386) 214-4823
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-289
FL
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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