Healthcare Provider Details

I. General information

NPI: 1871721118
Provider Name (Legal Business Name): AURELIA FROEHLY THIBONNIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AURELIA THIBONNIER CALERO

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HEALING WAY SUITE 300
WESLEY CHAPEL FL
33543-5453
US

IV. Provider business mailing address

PO BOX 917770
ORLANDO FL
32891-0001
US

V. Phone/Fax

Practice location:
  • Phone: 813-259-0929
  • Fax: 813-259-4280
Mailing address:
  • Phone: 813-974-2201
  • Fax: 813-974-4325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME119288
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: