Individual
JUAN CEVALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
38051 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 782-1329
(813) 782-9576
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 780-1255
(813) 780-9773
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME65262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110076262
RR MEDICARE
FL
05
—
374324100
—
FL
Enumeration date
08/31/2006
Last updated
08/30/2021
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