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NPI Code Detail

MEDICARE: ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA,LLC

MEDICARE: ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA,LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
197589OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578681664
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA,LLC
Provider Business Mailing Address
First Line : PO BOX 22201
Second Line :
City : TAMPA
State : FL
Zip : 33622-2201
Country : US
Telephone Number : 863-651-1831
Fax Number : 844-876-0873
Provider Business Practice Location Address
First Line : 2400 DUNDEE RD
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-1166
Country : US
Telephone Number : 352-867-8898
Fax Number : 352-732-6282
Authorized Official
Title or Position : MD
Name : JORGE VILLARREAL
Credential : MD
Telephone Number : 863-651-1831
Provider Enumeration Date : 03/27/2007
Last Update Date : 10/01/2024

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Directions to “ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA,LLC ” Practice Location

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