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Crystal Del Mar Ayala Castillo, MD

Internal Medicine in Fort Pierce, FL. Individual provider (NPI-1).

NPI number1750847588
StatusActive
Last updated in NPPESNov 16, 2023

Details

NPI
1750847588
Entity type
Individual (NPI-1)
Name
Crystal Del Mar Ayala Castillo
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 18, 2019
Certification date
Mar 20, 2023
Last updated
Nov 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME155186FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1700 S 23rd St
Fort Pierce, FL 34950-4803

Phone 772-461-4000

Mailing address

200 Se Hospital Ave # 2346
Stuart, FL 34994-2346

Phone 772-287-5000

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