Individual
JUAN JOSE MAYA VILLAMIZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3918 VIA POINCIANA STE 2, LAKE WORTH, FL 33467-2991
(561) 439-4682
(561) 969-3400
Mailing address
PO BOX 8689, JUPITER, FL 33468-8689
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME128061
FL
207RR0500X
Rheumatology Physician
Primary
ME128061
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
07/02/2013
Last updated
02/22/2021
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