Individual
AYOOLA WALEY OLAJIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 WHITEHALL DR, ST AUGUSTINE, FL 32086-5269
(904) 829-2782
(904) 829-2494
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
021031
PR
Other
Enumeration date
07/30/2018
Last updated
07/11/2024
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