Individual
ILIANA QUINTERO VILLAREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 872-2741
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN9411956
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11036567
FL
363LG0600X
Gerontology Nurse Practitioner
RN9411956
FL
Other
Enumeration date
08/26/2024
Last updated
12/10/2024
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