# PRIMARY MEDICAL CARE R AYALA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIMARY MEDICAL CARE R AYALA MD PA
- **Other names:** Family Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790799526
- **Legal business name:** PRIMARY MEDICAL CARE R AYALA MD PA
- **Authorized official:** MRS. BOBBIE INEZ COMFORT-MARSH (OFFICE MANAGER/ADMINISTRATOR)
- **Authorized official phone:** (863) 853-7822

## Contact information

- **Practice address:** 13438 FORT KING RD., DADE CITY, FL 33525-5214
- **Practice address phone:** (352) 567-5266
- **Practice address fax:** (352) 567-3066
- **Mailing address:** 13438 FORT KING RD., DADE CITY, FL 33525-5214
- **Mailing address phone:** (352) 567-5266
- **Mailing address fax:** (352) 567-3066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 05/22/2014
