Organization
PAIN MANAGEMENT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE R VILLARREAL MD (MANAGING MBR)
(863) 299-1231
Entity
Organization
Contact information
Practice address
2400 DUNDEE RD, WINTER HAVEN, FL 33884-1166
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 864164, ORLANDO, FL 32886-4164
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME0054730
FL
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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