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

Oluwatosin Adesola Ajayi, SA-C, IMG

Individual provider Surgical Assistant · NPI 1366003477

Oluwatosin Adesola Ajayi, SA-C, IMG is a Surgical Assistant in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

28 Palmyra Ln
Palm Coast, FL 32164-7516
Phone: (386) 214-4823
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 19-289 (FL)

Record details

NPI number1366003477
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C , IMG
Sole proprietorYes
NPI enumeratedJune 28, 2019
Last updated in NPPESJune 28, 2019

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