Individual
AUGUSTO E VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4689 US HIGHWAY 17 STE 2-5, FLEMING ISLAND, FL 32003-4831
(904) 269-6526
(904) 269-6527
Mailing address
PO BOX 102222, ATTN: CREDENTIALING, ATLANTA, GA 30368-2222
(239) 274-8200
(813) 976-7895
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME88469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16168
BC BS
FL
05
—
274685900
—
FL
01
—
7013828
AETNA
FL
Enumeration date
10/11/2005
Last updated
09/02/2022
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