Healthcare Provider Details

I. General information

NPI: 1225308216
Provider Name (Legal Business Name): ABEL VILTRES CRESPO FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ABEL VILTRES CRESPO APRN-FNP-BC

II. Dates (important events)

Enumeration Date: 01/06/2012
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 US HWY 27 N, SUITE 100
SEBRING FL
33870
US

IV. Provider business mailing address

5115 US HWY 27 N, SUITE 100
SEBRING FL
33870
US

V. Phone/Fax

Practice location:
  • Phone: 863-385-2222
  • Fax: 863-382-8765
Mailing address:
  • Phone: 863-385-2222
  • Fax: 863-382-8765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11017336
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number11-217
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: