Dr. Adebisi M. Ajala, MD
Anesthesiology, Pediatric Anesthesiology in Jacksonville, FL. Individual provider (NPI-1).
NPI number1114005378
StatusActive
Last updated in NPPESOct 24, 2018
Details
- NPI
- 1114005378
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adebisi M. Ajala
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Oct 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP3000X | Anesthesiology, Pediatric Anesthesiology | ME97225 | FL | Yes |
| 207L00000X | Anesthesiology | ME97225 | FL |
Practice location
807 Childrens WayJacksonville, FL 32207-8426
Phone 904-390-3600 · Fax 904-396-1630
Mailing address
10140 Centurion Pkwy NJacksonville, FL 32256-0532
Phone 904-697-4127 · Fax 904-697-5102
Other practice locations
1 Childrens Way # 653
Little Rock, AR 72202-3500
Little Rock, AR 72202-3500
Phone 501-364-1100
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