Basic Information
| Provider Information | |||||||||
| NPI: | 1548779655 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANGELO AYAR, MD, PA | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | DERMATOLOGY EXPERTS | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7301 N UNIVERSITY DR STE 102 | ||||||||
| Address2: | |||||||||
| City: | TAMARAC | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333212909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547262867 | ||||||||
| FaxNumber: | 9547263109 | ||||||||
| Practice Location | |||||||||
| Address1: | 7301 N UNIVERSITY DR STE 102 | ||||||||
| Address2: | |||||||||
| City: | TAMARAC | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547262000 | ||||||||
| FaxNumber: | 9547263109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2017 | ||||||||
| LastUpdateDate: | 07/17/2018 | ||||||||
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| AuthorizedOfficialLastName: | HECHT | ||||||||
| AuthorizedOfficialFirstName: | SHERI | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9547262000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | ME123952 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.