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Individual

JAVIER R AYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20646 WILDERNESS LAKE BLVD, LAND O LAKES, FL 34637-7861
(813) 996-4932
(813) 996-9713
Mailing address
20646 WILDERNESS LAKE BLVD, LAND O LAKES, FL 34637-7861
(813) 996-4932
(813) 996-9713

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME155736
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113860900
FL
Enumeration date
06/19/2019
Last updated
03/04/2025
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