Individual
BEVERLY AYALA-KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9800 S HEALTHPARK DR STE 205, FORT MYERS, FL 33908-3630
(239) 343-7130
(239) 343-7185
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7130
(239) 343-7185
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
9481037
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11027268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118906400
—
FL
Enumeration date
03/31/2021
Last updated
11/08/2023
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