Organization · Type 2 NPI

Primary Medical Care R Ayala MD PA

Multi-Specialty Clinic/Center · Dade City, FL

NPI number 1790799526 Active

Practice location

13438 Fort King Rd.
Dade City, FL 33525-5214

Fax (352) 567-3066

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

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NPI record

NPI: 1790799526
Entity type: Organization (Type 2)
Issued: Jul 28, 2006
Last updated: May 22, 2014
Status: Active
Subpart: Yes of Primary Medical Care R Ayala MD PA

Other names

<unavail>
Family Medical Center · doing business as

Authorized official

Mrs. Bobbie Inez Comfort-Marsh
Office Manager/administrator
(863) 853-7822

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790799526

Primary Medical Care R Ayala MD PA's National Provider Identifier is 1790799526, issued on Jul 28, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Dade City, FL. The record was last updated on May 22, 2014.