MEDICARE: AYOTUNDE ENTERPRISES INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	685611096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	685611096	OTHER	FL	MEDICATION REVIEWS

General Provider Information

NPI Number	:	1871624114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AYOTUNDE ENTERPRISES INCORPORATED

Provider Business Mailing Address
First Line	:	7459 HIGH LAKE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-8722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7459 HIGH LAKE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-8722
Country	:	US
Telephone Number	:	407-405-0735
Fax Number	:	407-298-3041

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PROF. MICHAEL AYOTUNDE
Credential	:	CPH
Telephone Number	:	407-405-0735

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	09/04/2008

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