Provider Demographics
NPI:1538495684
Name:AYALA, FRANCES V
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:V
Last Name:AYALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13029 PENSHURST LN
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6671
Mailing Address - Country:US
Mailing Address - Phone:407-405-0402
Mailing Address - Fax:407-654-8161
Practice Address - Street 1:2125 PORTLIGHT DR
Practice Address - Street 2:STE. 201
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6951
Practice Address - Country:US
Practice Address - Phone:407-252-4651
Practice Address - Fax:407-641-8633
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-25
Last Update Date:2009-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist