Individual
MR. MELANIO PASOS VILLAROSA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 S MAIN ST, LABELLE, FL 33935-4629
(863) 675-2356
(863) 983-2139
Mailing address
450 S MAIN ST, LABELLE, FL 33935-4629
(863) 675-2356
(863) 983-2139
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME58367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME58367
FLORIDA LICENSE
FL
Enumeration date
09/14/2006
Last updated
09/19/2019
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