MEDICARE: PATRICIAJENNELLE BRIONES BRIONES VILLAFLOR M.D.

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
1	208M00000X	Hospitalist Physician	ME127192	FL
2	207R00000X	Internal Medicine Physician	ME127192	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649603564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIAJENNELLE BRIONES BRIONES VILLAFLOR M.D.

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 E MARION AVE STE 1211
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-3868
Country	:	US
Telephone Number	:	941-347-4592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	02/03/2025

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