Individual
EUGENIO PONTILLAS SABALVORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A77008
CA
207L00000X
Anesthesiology Physician
E-3670
AR
207L00000X
Anesthesiology Physician
Primary
ME 111941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149770001
—
AR
Enumeration date
10/13/2006
Last updated
07/09/2024
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