Organization
ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE VILLARREAL MD (MD)
(863) 651-1831
Entity
Organization
Contact information
Practice address
2400 DUNDEE RD, WINTER HAVEN, FL 33884-1166
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 22201, TAMPA, FL 33622-2201
(863) 651-1831
(844) 876-0873
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307335100
—
FL
01
—
97589
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/27/2007
Last updated
10/01/2024
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