Individual
ALEXANDER VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1131 N 35TH AVE STE 300, HOLLYWOOD, FL 33021-5403
(954) 265-1616
(954) 265-1717
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115376
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2020
Last updated
03/26/2024
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