MEDICARE: GUILLERMO AYALA

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	343900000X	Non-emergency Medical Transport (VAN)	A400280684090	FL

General Provider Information

NPI Number	:	1194685511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUILLERMO AYALA

Provider Business Mailing Address
First Line	:	4220 LAVENDER CT
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-9793
Country	:	US
Telephone Number	:	347-784-0893
Fax Number	:

Provider Business Practice Location Address
First Line	:	4220 LAVENDER CT
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-9793
Country	:	US
Telephone Number	:	347-784-0893
Fax Number	:

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

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

Similar Medicare Providers

1043483886 — WILLAMETTE FAMILY MEDICAL CENTER, INC
Practice Location Address:

304 N MAIN ST
FALLS CITY, OR
97344-9793

Practice Phone: 503-787-3353
Practice Fax: 503-787-2911

1083879126 — NORA KAY ALLEN PTA
Practice Location Address:

67767 ALLEN LN
LORE CITY, OH
43755-9793

Practice Phone: 174-048-9538
Practice Fax:

1356299754 — YAIR GONZALEZ
Practice Location Address:

502 E HINSON AVE
HAINES CITY, FL
33844-5240

Practice Phone: 305-278-0200
Practice Fax:

1386576544 — GABRIEL A MATOS LMT
Practice Location Address:

143 SUMMERLIN LOOP
HAINES CITY, FL
33844-8868

Practice Phone: 469-500-3686
Practice Fax:

1659203669 — ANET TAIMY DE LA PAZ SR.
Practice Location Address:

3602 RODEN RD
HAINES CITY, FL
33844-9903

Practice Phone: 210-467-8025
Practice Fax:

1558293340 — MARIAM HANNA YOUSSEF
Practice Location Address:

35648 US HWY 27 N
HAINES CITY, FL
33844-3731

Practice Phone: 863-900-4593
Practice Fax:

Directions to “ GUILLERMO AYALA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.