ENIOLA AYOOLA P.A.
NPI 1972786358
Physician Assistant - Surgical in Summerfield, FL

Q: What is Eniola Ayoola's NPI number?

The NPI number for Eniola Ayoola is 1972786358. It was assigned to this individual provider in the NPPES registry on December 9, 2007.

Q: What is Eniola Ayoola's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Eniola Ayoola was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 09, 2007PECOS EnrolledAccepts Medicare Assignment

10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL 34491(352) 307-9925(352) 307-8442 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

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About Eniola Ayoola P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENIOLA AYOOLA P.A. (NPI 1972786358) is an individual surgical provider in Summerfield, Florida, licensed in Florida (PA9104349) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1972786358

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameENIOLA AYOOLACredential: P.A.

Location Address10250 SE 167TH PLACE RD UNIT 5Summerfield, FL 34491-8682

Mailing Address10250 Se 167th Place Rd Unit 5Summerfield, FL 34491-8682 · (352) 307-9925 · Fax (352) 307-8442

Phone(352) 307-9925

Fax(352) 307-8442

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateDecember 9, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1972786358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9104349

10250 SE 167TH PLACE RD UNIT 5, Summerfield, FL 34491

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Secondary Practice Locations 3

Location 1550 Pope Ave NW, Suite 200Winter Haven, FL 33881-4679 · Phone (863) 299-2630 · Fax (863) 969-0711

Location 218550 US Highway 441Mount Dora, FL 32757-6751 · Phone (352) 735-3755 · Fax (352) 735-3151

Location 3910 Old Camp Rd Ste 200The Villages, FL 32162-5605 · Phone (352) 775-4868 · Fax (352) 775-4867

Other Identifiers 1

Medicaid001558000FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eniola Ayoola P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355428194

PECOS Enrollment IDI20251216003371

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEVIEW SPECIALIST GROUP, LLC

Specialist