Provider Demographics
NPI:1215915152
Name:AJAYI, AKINYEMI OLUTOYE (MD)
Entity type:Individual
Prefix:DR
First Name:AKINYEMI
Middle Name:OLUTOYE
Last Name:AJAYI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 W FAIRBANKS AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3385
Mailing Address - Country:US
Mailing Address - Phone:407-898-2767
Mailing Address - Fax:407-898-9443
Practice Address - Street 1:2660 W FAIRBANKS AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3385
Practice Address - Country:US
Practice Address - Phone:407-898-2767
Practice Address - Fax:407-898-9443
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL846642080P0214X
FLME846642080S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265151300Medicaid
H25594Medicare UPIN