GABLES HEALTH PRACTICE AYALA MD CORP
Ambulatory Health in Miami, FL

License number
Florida ME0020484
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. RINA P AYALA M.D.
Title: PRESIDENT
Phone: (786) 502-3792
Address
Address
5246 St Suite 101-E, Miami, FL 33134
National Provider ID: 1427473891
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GABLES HEALTH PRACTICE AYALA M.D. CORP

Miami, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Feb 3, 2014
Inactive since:
Feb 24, 2015
Addresses:
5246 SW 8 St 101-E, Miami, FL 33134 (Physical)
5246 SW 8 St, Miami, FL 33134
State ID:
P14000010028
Business type:
Florida Profit Corporation
Presidents:
Mayra C Pena (Vice President), 5246 SW 8 St 101-E, Miami, FL 33134 (Physical),Hector A Rodriguez (President), 5246 SW 8 St 101-E, Miami, FL 33134 (Physical),Rina Ayala President, inactive
Agent:
Mayra Pena,5246 SW 8 St 101-E, Miami, FL 33134 (Physical)
EIN:
46-4720563

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