Individual
JOSE A AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-8507
Mailing address
10940 STATE ROAD 70 E STE 103, LAKEWOOD RANCH, FL 34202-8401
(941) 243-3088
(941) 243-3085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0058034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14915
BLUE CROSS BLUE SHIELD
FL
05
—
371176500
—
FL
Enumeration date
12/01/2005
Last updated
12/03/2025
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