Provider Demographics
NPI:1548779655
Name:ANGELO AYAR, MD, PA
Entity Type:Organization
Organization Name:ANGELO AYAR, MD, PA
Other - Org Name:DERMATOLOGY EXPERTS
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:HECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-726-2000
Mailing Address - Street 1:7301 N UNIVERSITY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2909
Mailing Address - Country:US
Mailing Address - Phone:954-726-2867
Mailing Address - Fax:954-726-3109
Practice Address - Street 1:7301 N UNIVERSITY DR STE 102
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:954-726-2000
Practice Address - Fax:954-726-3109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123952207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty