Individual
FERNANDO VILLACIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 SW 97TH AVE, SUITE #208, MIAMI, FL 33173-1494
(305) 227-7780
(305) 227-7780
Mailing address
7000 SW 97TH AVE, SUITE #208, MIAMI, FL 33173-1494
(305) 227-7780
(305) 227-7780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME35668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038526300
—
FL
Enumeration date
06/15/2005
Last updated
06/29/2011
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