Organization
MULBERRY MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO B AVECILLA MD (PRESIDENT)
(352) 259-7900
Entity
Organization
Contact information
Practice address
8489 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5847
(352) 259-7900
(352) 259-7966
Mailing address
PO BOX 587, OXFORD, FL 34484-0587
(352) 259-7900
(352) 259-7966
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME80865
FL
Other
Enumeration date
01/08/2008
Last updated
08/23/2010
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