Raul Ayala MD P.A.
Internal Medicine in Riverview, FL. Organization (NPI-2).
NPI number1154440436
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154440436
- Entity type
- Organization (NPI-2)
- Legal business name
- Raul Ayala MD P.A.
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME79510 | FL | Yes |
Other names
- Boyette Walk In Clinic (Doing Business As)
Practice location
10508 Gibsonton DrRiverview, FL 33569-5434
Phone 813-741-2100
Mailing address
10508 Gibsonton DrRiverview, FL 33569-5434
Phone 813-741-2100 · Fax 813-741-2100
Authorized official
Gabriela P Acosta
Office Manager
8137412100
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