Provider Demographics
NPI:1225675150
Name:AYON, ALEXANDER R
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:R
Last Name:AYON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 ROARING DR APT 242
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-4546
Mailing Address - Country:US
Mailing Address - Phone:407-692-6496
Mailing Address - Fax:
Practice Address - Street 1:676 ROARING DR APT 242
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-4546
Practice Address - Country:US
Practice Address - Phone:407-692-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)