Basic Information
| Provider Information | |||||||||
| NPI: | 1164893756 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AJANI | ||||||||
| FirstName: | TOLULOPE | ||||||||
| MiddleName: | FOLARANMI | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30744 SONNET GLEN DR | ||||||||
| Address2: | |||||||||
| City: | WESLEY CHAPEL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335437075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8135161330 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5112 N HABANA AVE | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8133742406 | ||||||||
| FaxNumber: | 8133742407 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/08/2015 | ||||||||
| LastUpdateDate: | 02/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 9351467 | FL | N | Nursing Service Providers | Registered Nurse | 363LF0000X | AP61215774 | WA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | ARNP9351467 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.