Ayala Castillo, Crystal Del Mar
Ayala Castillo, Crystal Del Mar is an sole proprietor health care provider with primary practice located at 1700 S 23Rd St , Fort Pierce FL 34950-4803. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ayala Castillo, Crystal Del Mar can be contacted via phone (772) 461-4000.Contact Information
Primary practice address
1700 S 23Rd St
Fort Pierce FL 34950-4803
Phone: (772) 461-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME155186 | Florida |
Profile Details
| NPI number | 1750847588 |
|---|---|
| LBN Legal business name | Ayala Castillo, Crystal Del Mar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2019 |
| Last updated | Nov 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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