Provider Demographics
NPI:1023078169
Name:AYOUBI, GHYEATH (MD)
Entity type:Individual
Prefix:DR
First Name:GHYEATH
Middle Name:
Last Name:AYOUBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7364 STONEROCK CIR
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8000
Mailing Address - Country:US
Mailing Address - Phone:407-352-8188
Mailing Address - Fax:407-351-9057
Practice Address - Street 1:7364 STONEROCK CIR
Practice Address - Street 2:SUITE B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-0000
Practice Address - Country:US
Practice Address - Phone:407-352-8188
Practice Address - Fax:407-351-9057
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL800018460207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377305101Medicaid
FLK4707Medicare ID - Type Unspecified
FL377305101Medicaid