Healthcare Provider Details

I. General information

NPI: 1578523064
Provider Name (Legal Business Name): AYINTOVE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 08/29/2008
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: 305-271-6311
  • Fax: 305-275-5631
Mailing address:
  • Phone: 305-271-6311
  • Fax: 305-275-5631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1249095
License Number StateFL

VIII. Authorized Official

Name: MR. PHILIP ESFORMES
Title or Position: OWNER
Credential:
Phone: 305-271-6311