Villarreal, Jorge Ramon

Villarreal, Jorge Ramon is an individual health care provider with primary practice located at 2400 Dundee Rd , Winter Haven FL 33884-1166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Villarreal, Jorge Ramon can be contacted via phone (317) 614-9863.

Contact Information

Primary practice address
2400 Dundee Rd Winter Haven FL 33884-1166
Fax: (844) 876-0873
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME0054730 Florida

Profile Details

NPI number 1093742413
LBN Legal business name Villarreal, Jorge Ramon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093742413 NPPES
Florida MEDICAID 005537900

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