Individual
ANGEL DAVID BEATON VILLAFRUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
5012 N HALE AVE, TAMPA, FL 33614-6547
(727) 560-0890
Mailing address
5012 N HALE AVE, TAMPA, FL 33614-6547
(727) 560-0890
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
26-212
FL
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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