Individual
MR. RUBEN AQUINO TOBILLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2743 NORTHAMPTON AVE, ORLANDO, FL 32828-7910
(407) 452-7447
Mailing address
2743 NORTHAMPTON AVE, ORLANDO, FL 32828-7910
(407) 452-7447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2720122
FL
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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