Healthcare Provider Details

I. General information

NPI: 1265598601
Provider Name (Legal Business Name): AYINTOVE ASSOCIATE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9820 N KENDALL DR
MIAMI FL
33176-1816
US

IV. Provider business mailing address

9820 N KENDALL DR
MIAMI FL
33176-1816
US

V. Phone/Fax

Practice location:
  • Phone: 305-275-5609
  • Fax: 305-275-5631
Mailing address:
  • Phone: 305-275-5609
  • Fax: 305-275-5631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. DONIAL ROTH
Title or Position: SUPERVISOR
Credential:
Phone: 305-854-1110