Individual
IVAN LUIS AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 SW 84TH AVE STE 106, PLANTATION, FL 33324-2729
(954) 452-0774
Mailing address
220 SW 84TH AVE STE 106, PLANTATION, FL 33324-2729
(954) 452-0774
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME50619
FL
Other
Enumeration date
10/25/2006
Last updated
04/28/2021
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