Individual
SAMUEL AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2665
(813) 932-2222
Mailing address
11506 ECHO LAKE CIR UNIT 305, BRADENTON, FL 34211-2504
(941) 705-4700
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
209101
FL
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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