Provider Demographics
NPI:1699792408
Name:AJUFO, SYLVESTER C (MD)
Entity type:Individual
Prefix:DR
First Name:SYLVESTER
Middle Name:C
Last Name:AJUFO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2131 SW 22ND PL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-7766
Mailing Address - Country:US
Mailing Address - Phone:352-369-3700
Mailing Address - Fax:352-369-3931
Practice Address - Street 1:2131 SW 22ND PL
Practice Address - Street 2:SUITE 202
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7766
Practice Address - Country:US
Practice Address - Phone:352-369-3700
Practice Address - Fax:352-369-3931
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME73660208000000X
FLME77338208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263369800Medicaid
FL255907200Medicaid