Individual
DR. RAQUEL M VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 486-2314
Mailing address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 486-2314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME166674
FL
207R00000X
Internal Medicine Physician
ME166674
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME166674
FL
Other
Enumeration date
05/22/2007
Last updated
02/04/2025
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