MEDICARE: CHRISTINE D AYARZA M.D.

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	207RI0200X	Infectious Disease Physician	ME111017	FL

General Provider Information

NPI Number	:	1285800532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE D AYARZA M.D.

Provider Business Mailing Address
First Line	:	14192 METROPOLIS AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4331
Country	:	US
Telephone Number	:	239-244-9560
Fax Number	:	239-244-9481

Provider Business Practice Location Address
First Line	:	14192 METROPOLIS AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4331
Country	:	US
Telephone Number	:	239-244-9560
Fax Number	:	239-244-9481

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

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	02/22/2017

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