| Family Physician Services Inc | |
|
801 Meadows Rd Ste 111b Boca Raton FL 33486-2346 | |
| (561) 368-7055 | |
| (561) 368-6599 |
| Full Name | Family Physician Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 801 Meadows Rd Ste 111b, Boca Raton, Florida |
| Authorized Official Name and Position | Dwight G Ayala (FAMILY PHYSICIAN) |
| Authorized Official Contact | 5613687055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physician Services Inc 10278 Buena Ventura Dr Boca Raton FL 33498-6766 Ph: (561) 368-7055 | Family Physician Services Inc 801 Meadows Rd Ste 111b Boca Raton FL 33486-2346 Ph: (561) 368-7055 |
| NPI Number | 1043402589 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 06/26/2013 |
| Medicare PECOS PAC ID | 5890880264 |
|---|---|
| Medicare Enrollment ID | O20070929000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043402589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME83667 (Florida) | Primary |
| Provider Name | Dwight G Ayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689673139 PECOS PAC ID: 5092778613 Enrollment ID: I20041104001109 |
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