Individual
ENIOLA AYOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL 34491-8682
(352) 307-9925
(352) 307-8442
Mailing address
10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL 34491-8682
(352) 307-9925
(352) 307-8442
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001558000
—
FL
Enumeration date
12/09/2007
Last updated
07/21/2022
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