Organization
BORIKEN PAIN AND ANESTHESIA L.L.C.
Active
Organization
BORIKEN PAIN AND ANESTHESIA L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORVIL LUIS AYALA MD (MEMBER)
(813) 938-6627
Entity
Organization
Contact information
Practice address
110 SOUTHERN OAKS DR, PLANT CITY, FL 33563-1446
(813) 938-6627
(866) 357-5209
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
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
02/05/2021
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