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NPI Code Detail

MEDICARE: DR. JORGE AYUB M.D.

MEDICARE: DR. JORGE AYUB 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
1207RX0202XMedical Oncology PhysicianME47849FL
2207RH0000XHematology (Internal Medicine) PhysicianME47849FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00468398OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902876162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORGE AYUB M.D.
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line : ATTN: CREDENTIAL DEPARTMENT
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number : 239-278-3350
Provider Business Practice Location Address
First Line : 7651 MEDICAL DR
Second Line :
City : HUDSON
State : FL
Zip : 34667-6594
Country : US
Telephone Number : 727-868-9208
Fax Number : 727-863-8725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 02/09/2026

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