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

Tochukwu C Ajalla

Individual provider Medical Physician Assistant · NPI 1568171676

Tochukwu C Ajalla is a Physician Assistant in Leesburg, Florida. Qualified in 2022, 4 years ago. Practices with Lakeview Healthcare System, LLC, a 30-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2022

Practice location Address checks out

711 N 3rd St
Leesburg, FL 34748-4495
Phone: (352) 720-0940
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1568171676
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 17, 2022
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeview Healthcare System, Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Leesburg