Organization
IVAN L AYALA MD PA
Active
Other names
Atlantic Coast Radiology, SF
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN AYALA M.D. (PRESIDENT)
(954) 318-2090
Entity
Organization
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
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
04/28/2021
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