NPIMap

Organization Active NPI

Primary Medical Care R Ayala MD PA

  • Multi-Specialty Clinic/Center
  • Dade City, FL
National Provider Identifier
1790799526
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PRIMARY MEDICAL CARE R AYALA MD PA
Practice address
13438 Fort King Rd.
Dade City, FL 33525-5214
Phone
(352) 567-5266
Fax
(352) 567-3066
NPI assigned
Jul 28, 2006
Organization subpart
Yes
Parent organization
PRIMARY MEDICAL CARE R AYALA MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Bobbie Inez Comfort-Marsh
Title
Office Manager/Administrator
Phone
(863) 853-7822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

13438 Fort King Rd.
Dade City, FL 33525-5214

Mailing address

13438 Fort King Rd.
Dade City, FL 33525-5214
Phone (352) 567-5266

Other names 1

  • Family Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Family Medical Center

Locations

721 Benton Ave
Brooksville, FL 34601
Phone (352) 799-2682

13438 Fort King Rd
Dade City, FL 33525
Phone (352) 567-5266

4120 US Highway 98 N
Ste 200
Lakeland, FL 33809
Phone (863) 853-7822

5346 US Highway 98 N
Lakeland, FL 33809
Phone (941) 853-7822

4316 US Highway 98 N
Lakeland, FL 33809
Phone (352) 567-5266

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1790799526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13438 FORT KING RD.",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255214",
            "telephone_number": "352-567-5266",
            "fax_number": "352-567-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13438 FORT KING RD.",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255214",
            "telephone_number": "352-567-5266",
            "fax_number": "352-567-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL CARE R AYALA MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY MEDICAL CARE R AYALA MD PA",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "COMFORT-MARSH",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "OFFICE MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "863-853-7822",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.