Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chukwuka G Ayetin, DO

Individual provider Family Medicine Physician · NPI 1508354432

Chukwuka G Ayetin, DO is a Family Practice in Brooksville, Florida. Graduated from Philadelphia College of Osteopathic Medicine in 2018, 8 years ago. Practices with Optumcare Florida, LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

605 Lamar Ave
Brooksville, FL 34601-3211
Phone: (352) 796-9990
Fax: (352) 796-2226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS17378 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508354432
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESMarch 7, 2023
Certification dateDecember 21, 2021
Mailing address5130 Sunforest Dr Ste 300, Tampa, FL 33634-6327

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Optumcare Florida, Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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