Provider Demographics
NPI:1881190064
Name:AYAZO, MICHELLE M (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:M
Last Name:AYAZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:38135 MARKET SQ
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-7505
Mailing Address - Country:US
Mailing Address - Phone:137-513-7008
Mailing Address - Fax:813-355-5027
Practice Address - Street 1:7760 CURLEY RD STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-9153
Practice Address - Country:US
Practice Address - Phone:813-751-3700
Practice Address - Fax:813-377-1398
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2022-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME141675207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine