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NPI Code Detail

MEDICARE: DR. DWIGHT GUIDO AYALA MD

MEDICARE:  DR. DWIGHT GUIDO AYALA  MD
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
1207Q00000XFamily Medicine PhysicianME83667FL
2208M00000XHospitalist PhysicianME83667FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689673139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DWIGHT GUIDO AYALA MD
Provider Business Mailing Address
First Line : 10278 BUENA VENTURA DR
Second Line :
City : BOCA RATON
State : FL
Zip : 33498-6766
Country : US
Telephone Number : 561-368-7055
Fax Number :
Provider Business Practice Location Address
First Line : 10278 BUENA VENTURA DR
Second Line :
City : BOCA RATON
State : FL
Zip : 33498-6766
Country : US
Telephone Number : 561-368-7055
Fax Number : 561-368-6599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 08/08/2016

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Directions to “ DR. DWIGHT GUIDO AYALA MD” Practice Location

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