Individual
MARY JO VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7600 W 20TH AVE, STE 103-104, HIALEAH, FL 33016-1821
(305) 231-3150
(305) 231-5020
Mailing address
7600 W 20TH AVE, STE 103-104, HIALEAH, FL 33016-1821
(305) 231-3150
(305) 231-5020
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0S 7470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258647900
—
FL
Enumeration date
10/11/2005
Last updated
04/27/2015
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