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1497830897
IVAN LUIS AYALA
PLANTATION, FL
NPI
1497830897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: FL ME50619)
Enumeration Date
2006-10-25
Last Update Date
2021-04-28
Business Address
IVAN LUIS AYALA MD
220 SW 84TH AVE STE 106
PLANTATION, FL 33324-2729
Phone number: 954-452-0774
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Mailing Address
IVAN LUIS AYALA MD
220 SW 84TH AVE STE 106
PLANTATION, FL 33324-2729
Phone number: 954-452-0774
Copy
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