Ayala, Dwight Guido
Ayala, Dwight Guido is an sole proprietor health care provider with primary practice located at 10278 Buena Ventura Dr , Boca Raton FL 33498-6766. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ayala, Dwight Guido can be contacted via phone (561) 368-7055.Contact Information
Primary practice address
10278 Buena Ventura Dr
Boca Raton FL 33498-6766
Phone: (561) 368-7055
Fax: (561) 368-6599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME83667 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME83667 | Florida |
Profile Details
| NPI number | 1689673139 |
|---|---|
| LBN Legal business name | Ayala, Dwight Guido |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Aug 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689673139 | NPPES |
| Florida | MEDICAID | 263400700 |
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