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General NPI Number Information
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NPI Number | 1578681664
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Entity Type | Organization
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Legal Business Name | ANESTHESIA CONSULTANTS OF CENTRAL FLORIDA,LLC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 2400 DUNDEE RD
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City | WINTER HAVEN
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State | FL
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Zip | 33884-1166
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Country | US
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Telephone | 352-867-8898
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Fax | 352-732-6282
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Provider Business Mailing Address
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Address Line | PO BOX 22201
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City | TAMPA
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State | FL
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Zip | 33622-2201
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Country | US
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Telephone | 863-651-1831
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Fax | 844-876-0873
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Authorized Official
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Title or Position | MD
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Name | JORGE VILLARREAL
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Credential | MD
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Telephone | 863-651-1831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | FL
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