# ANDRES R VILLAR MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497754154
- **Authorized official:** DR. ANDRES R VILLAR MD (ADMINISTRATOR)
- **Authorized official phone:** (386) 755-5044

## Contact information

- **Practice address:** 789 W DUVAL ST, LAKE CITY, FL 32055-3811
- **Practice address phone:** (386) 755-1546
- **Practice address fax:** (386) 755-2283
- **Mailing address:** PO BOX 606, GLEN ST MARY, FL 32040-0606
- **Mailing address phone:** (904) 653-1818
- **Mailing address fax:** (904) 653-1814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2005
- **Last updated:** 07/22/2021