# IVAN L AYALA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlantic Coast Radiology, SF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972740462
- **Authorized official:** DR. IVAN AYALA M.D. (PRESIDENT)
- **Authorized official phone:** (954) 318-2090

## Contact information

- **Practice address:** 220 SW 84TH AVE STE 106, PLANTATION, FL 33324-2729
- **Practice address phone:** (954) 452-0774
- **Mailing address:** 220 SW 84TH AVE STE 106, PLANTATION, FL 33324-2729
- **Mailing address phone:** (954) 452-0774

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 04/28/2021