Provider Demographics
NPI:1831165281
Name:AYRES, JOHN R (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:AYRES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2105 MANATEE AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1640
Mailing Address - Country:US
Mailing Address - Phone:941-803-8395
Mailing Address - Fax:941-803-8158
Practice Address - Street 1:2105 MANATEE AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1640
Practice Address - Country:US
Practice Address - Phone:941-803-8395
Practice Address - Fax:941-803-8158
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 47478207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL09888OtherBCBS OF FL
FL200009398OtherRAILROAD MEDICARE
FL09888OtherBCBS OF FL
FL09888OtherBCBS OF FL
FLE75875Medicare UPIN