Ayers, Gwen Marie

Ayers, Gwen Marie is an individual health care provider with primary practice located at 13000 Bruce B Downs Blvd , Tampa FL 33612-4745. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Ayers, Gwen Marie can be contacted via phone (813) 972-2000.

Contact Information

Primary practice address
13000 Bruce B Downs Blvd Tampa FL 33612-4745
Phone: (813) 972-2000
Fax: (813) 979-3628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X ME139064 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30850 Tennessee

Profile Details

NPI number 1598840076
LBN Legal business name Ayers, Gwen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated May 11th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598840076 NPPES
Florida MEDICAID 110216700

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