Individual
JORGE RAMON VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 DUNDEE RD, WINTER HAVEN, FL 33884-1166
(317) 614-9863
(844) 876-0873
Mailing address
PO BOX 22201, TAMPA, FL 33622-2201
(317) 614-9863
(844) 876-0873
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0054730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005537900
—
FL
Enumeration date
06/28/2006
Last updated
02/14/2022
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