Individual
JAMES RAY FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4193
(863) 293-1121
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4193
(863) 293-1121
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11001340
FL
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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