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Organization

RAUL AYALA MD P.A.

Active
Find providers by NPI
Organization

RAUL AYALA MD P.A.

Active
Other names
BOYETTE WALK IN CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GABRIELA P ACOSTA (OFFICE MANAGER)
(813) 741-2100
Entity
Organization

Contact information

Practice address
10508 GIBSONTON DR, RIVERVIEW, FL 33569-5434
(813) 741-2100
Mailing address
10508 GIBSONTON DR, RIVERVIEW, FL 33569-5434
(813) 741-2100
(813) 741-2100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME79510
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1055495
CARE PLUS ID #
FL
Enumeration date
03/28/2007
Last updated
08/22/2020
About Stedi
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