Female

Dr. Adebisi M. Ajala MD

Pediatric Anesthesiology Physician in Jacksonville, FL(View on Map)

Full Name

Dr. Adebisi M. Ajala MD

NPI Number

1114005378

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/02/2006

Specialties

(Taxonomies)

Code

207LP3000X
207L00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME97225

Contact
Information

Purpose

Mailing
Location

Address

10140 CENTURION PKWY N
807 CHILDRENS WAY

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32256-0532
32207-8426

Country

US
US

Telephone Number

(904) 697-4127
(904) 390-3600

Identifiers

Identifier

690331035A
276858500

Identifier State

GA
FL

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/24/2018

Provider Address

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