Organization
PHYSICIANS OF WINTER HAVEN LLC
Active
Other names
Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE R VILLARREAL M.D. (VICE PRESIDENT & MEDICAL DIRECTOR)
(863) 293-8471
Entity
Organization
Contact information
Practice address
2400 DUNDEE RD, WINTER HAVEN, FL 33884-1166
(863) 293-8471
(863) 508-1390
Mailing address
2400 DUNDEE RD, WINTER HAVEN, FL 33884-1166
(863) 293-8471
(863) 508-1390
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1246
FL
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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