# NATALIA VILLATE, M.D. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275940124
- **Authorized official:** NATALIA VILLATE M.D. (PRESIDENT)
- **Authorized official phone:** (305) 788-0947

## Contact information

- **Practice address:** 9980 CENTRAL PARK BLVD N, SUITE 204, BOCA RATON, FL 33428-1762
- **Practice address phone:** (305) 788-0947
- **Practice address fax:** (561) 479-1680
- **Mailing address:** 4001 N OCEAN BLVD, APT B 704, BOCA RATON, FL 33431-5363
- **Mailing address phone:** (561) 245-8931
- **Mailing address fax:** (561) 479-1680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME102239 | FL | Yes |

## Other

- **Enumeration date:** 07/11/2014
- **Last updated:** 07/11/2014
