MEDICARE: BRIANNA AYALA NP

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	2084P0800X	Psychiatry Physician	11014959	FL

General Provider Information

NPI Number	:	1841808516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA AYALA NP

Provider Business Mailing Address
First Line	:	12141 LILY MAGNOLIA LN
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-5552
Country	:	US
Telephone Number	:	631-885-5119
Fax Number	:

Provider Business Practice Location Address
First Line	:	1565 N HARBOR CITY BLVD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-6568
Country	:	US
Telephone Number	:	321-638-6818
Fax Number	:	321-616-8126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2020
Last Update Date	:	05/12/2026

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