Individual
WILLIAM VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 BOUGAINVILLEA ST NW, PALM BAY, FL 32907-2959
(321) 503-6149
Mailing address
450 BOUGAINVILLEA ST NW, PALM BAY, FL 32907-2959
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
RN9519688
FL
Other
Enumeration date
06/28/2025
Last updated
07/17/2025
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