MEDICARE: AURELIA FROEHLY THIBONNIER MD

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	2086S0129X	Vascular Surgery Physician	ME119288	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
2	14W10	OTHER	FL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871721118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURELIA FROEHLY THIBONNIER MD

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-0001
Country	:	US
Telephone Number	:	813-974-2201
Fax Number	:	813-974-4325

Provider Business Practice Location Address
First Line	:	2700 HEALING WAY
Second Line	:	SUITE 300
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-5453
Country	:	US
Telephone Number	:	813-259-0929
Fax Number	:	813-259-4280

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

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	12/08/2025

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