Individual
DR. RAYBERT LLORENTE FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 N DALE MABRY HWY STE B2, TAMPA, FL 33614-2795
(813) 933-7805
(844) 388-6186
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(813) 444-5838
(833) 495-7206
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
021528
PR
208D00000X
General Practice Physician
Primary
ACN1248
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2019
Last updated
05/01/2025
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