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Individual

DR. ORVIL LUIS AYALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
342 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 938-6627
Mailing address
3433 LITHIA PINECREST RD STE 196, VALRICO, FL 33596-6302
(813) 938-6627

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.121076
OH
207L00000X
Anesthesiology Physician
Primary
ME115422
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.121076
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME115422
FL
208VP0000X
Pain Medicine Physician
35.121076
OH
208VP0000X
Pain Medicine Physician
ME115422
FL
208VP0014X
Interventional Pain Medicine Physician
35.121076
OH
208VP0014X
Interventional Pain Medicine Physician
ME115422
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0156527
OH
Enumeration date
04/30/2009
Last updated
11/30/2021
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