MEDICARE: ANGEL DAVID BEATON VILLAFRUELA SA-C

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	246ZC0007X	Surgical Assistant	26-212	FL

General Provider Information

NPI Number	:	1366388951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL DAVID BEATON VILLAFRUELA SA-C

Provider Business Mailing Address
First Line	:	5012 N HALE AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6547
Country	:	US
Telephone Number	:	727-560-0890
Fax Number	:

Provider Business Practice Location Address
First Line	:	5012 N HALE AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6547
Country	:	US
Telephone Number	:	727-560-0890
Fax Number	:

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

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

Similar Medicare Providers

1396917449 — KAREN K COLLINS LMT
Practice Location Address:

6007 N OTIS AVE
TAMPA, FL
33604-6547

Practice Phone: 813-253-9506
Practice Fax:

1427994177 — LEYCARE RESIDENTIAL SERVICES
Practice Location Address:

6017 N OLIVE AVE
TAMPA, FL
33614-5532

Practice Phone: 813-466-9556
Practice Fax:

1679419337 — ELIZABETH HOPKINS PA-C
Practice Location Address:

4401 N HIMES AVE STE 175
TAMPA, FL
33614-7095

Practice Phone: 813-393-3720
Practice Fax:

1104762756 — ALEXANDRA FONTANA
Practice Location Address:

4401 N HIMES AVE
TAMPA, FL
33614-7097

Practice Phone: 781-733-5570
Practice Fax:

1295671865 — MARGARET JORDAN HEWITT
Practice Location Address:

4401 N HIMES AVE STE 175
TAMPA, FL
33614-7095

Practice Phone: 813-393-3800
Practice Fax:

1497691646 — CHANEL RINCK
Practice Location Address:

4401 N HIMES AVE STE 175
TAMPA, FL
33614-7095

Practice Phone: 813-393-3800
Practice Fax:

Directions to “ ANGEL DAVID BEATON VILLAFRUELA SA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.