ENIOLA AYOOLA (NPI# 1972786358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972786358 |
Entity Type | Individual |
Full Name | ENIOLA AYOOLA |
Credential | P.A. |
Practice Address |
10250 Se 167th Place Rd Unit 5 Summerfield FL 34491-8682 |
Practice Telephone | 3523079925 |
Practice Fax Number | 3523078442 |
Mailing Telephone | (352) 307-9925 |
Mailing Fax Number | 3523078442 |
Enumeration Date | 2007-12-09 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104349 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 001558000 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
18550 Us Highway 441, Mount Dora, FL 327576751 | 3527353755 | 3527353151 |
550 Pope Ave Nw, Suite 200, Winter Haven, FL 338814679 | 8632992630 | 8639690711 |
910 Old Camp Rd Ste 200, The Villages, FL 321625605 | 3527754868 | 3527754867 |
Street Address |
10250 SE 167TH PLACE RD UNIT 5 |
City | SUMMERFIELD |
State | FL |
Zip Code | 34491-8682 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710979794 | Kenneth David Grier | Optometrist | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491 | 2005-08-16 |
1043869332 | Lakeview Specialist Group, LLC | Specialist | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2019-09-09 |
1598273831 | Svetlana Shchukina | Nurse Practitioner | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2018-01-22 |
1033554597 | Wayne Hu | Physical Medicine & Rehabilitation | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2013-05-09 |
1538494844 | Imran Ahmad | Internal Medicine | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2009-10-05 |
1831344092 | Amarjeet Sareen | Psychiatry & Neurology | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2008-12-01 |
1154355766 | Michael D Chesner | Internal Medicine | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2006-07-10 |
1629006499 | Haroon Rashid | Internal Medicine | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2006-06-29 |
1952337966 | Michael Alan Mcgriff | Dermatology | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2006-06-23 |
1659313120 | Prasad R Ancha | Psychiatry & Neurology | 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491-8682 | 2006-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194282947 | Marlen D Ohair | Religious Nonmedical Nursing Personnel | 3424 Se 14th Pl, Summerfield, FL 34491 | 2019-02-28 |
1992262851 | Arms of Jesus | Adult Companion | 3424 Se 146th Pl, Summerfield, FL 34491 | 2019-02-27 |
1396230504 | Ashley Ellis Davis | Nurse Practitioner | 17823 Se 109th Ave, Suite 108, Summerfield, FL 34491 | 2018-06-29 |
1215429220 | Redeemed Hearts Inc | In Home Supportive Care | 14380 Se 61 Ave, Summerfield, FL 34491 | 2018-06-05 |
1336649649 | Michelle Wojciechowski | Nurse Practitioner | 15061 Se 103rd Ave, Summerfield, FL 34491 | 2018-02-14 |
1710406228 | Sasha Saidi | Pain Medicine | 16810 South Highway 441, Suite 502, Summerfield, FL 34491 | 2017-09-15 |
1598282915 | Acupuncture Wellness LLC | Acupuncturist | 15151 S. Hwy 441, Suite 100, Summerfield, FL 34491 | 2017-08-25 |
1699137489 | Lindsey Mckay | Registered Nurse | 14510 Se 91 St Terrace, Summerfield, FL 34491 | 2016-03-22 |
1295114791 | Michael Anthony Shamat | Chiropractor | 15151 Hwy 441, Summerfield, FL 34491 | 2015-05-29 |
1952711038 | John Wiley | Occupational Therapist | 15600 S. U.S. Hwy 441, B, Summerfield, FL 34491 | 2014-04-29 |
Find all providers in zip 34491 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598791147 | Clancy Conde Laizure | Physician Assistant | 7839 Spencer Brook Dr, Summerfield, NC 27358-9305 | 2006-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
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1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
Find all providers with the same taxonomy |
City | SUMMERFIELD |
Zip Code | 34491 |
Please comment or provide details below to improve the information on ENIOLA AYOOLA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.