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Organization
FAMILY PHYSICIAN SERVICES INC
Active
Organization
FAMILY PHYSICIAN SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT G AYALA M.D. (FAMILY PHYSICIAN)
(561) 368-7055
Entity
Organization
Contact information
Practice address
801 MEADOWS RD STE 111B, BOCA RATON, FL 33486-2346
(561) 368-7055
(561) 368-6599
Mailing address
10278 BUENA VENTURA DR, BOCA RATON, FL 33498-6766
(561) 368-7055
(561) 368-6599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME83667
FL
Other
Enumeration date
08/17/2007
Last updated
06/26/2013
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