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Individual

GWEN MARIE AYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 979-3628
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 979-3628

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
ME139064
FL
2085R0202X
Diagnostic Radiology Physician
30850
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110216700
FL
Enumeration date
10/25/2006
Last updated
05/11/2022
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