Individual
CRYSTAL DEL MAR AYALA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 461-4000
Mailing address
200 SE HOSPITAL AVE # 2346, STUART, FL 34994-2346
(772) 287-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME155186
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2019
Last updated
11/16/2023
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