PHYSICIANS OF WINTER HAVEN LLC
Ambulatory Health at Dundee Rd, Winter Haven, FL

License number
Florida 1246
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. JORGE R VILLARREAL M.D.
Title: VICE PRESIDENT & MEDICAL DIRECTOR
Phone: (863) 293-8471
Address
Address
2400 Dundee Rd, Winter Haven, FL 33884
National Provider ID: 1801811443
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Physicians of Winter Haven, LLC

2400 Dundee Rd, Winter Haven, FL 33884

Industry:
Medical Doctor's Office
Doing business as:
Day Surgery Center
Registration:
Oct 9, 2003
Phone:
(863) 293-8471 (Phone)
State ID:
L03000039709
Business type:
Florida Limited Liability Company
Secretarys:
Robert K. Lerner (President),Don Nettlow (Treasurer),Robert M. Thomas (Secretary),...
Agent:
Robert Lerner,2400 Dundee Rd, Winter Haven, FL 33884 (Physical)
EIN:
20-0324393

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