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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