Organization
NATALIA VILLATE, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA VILLATE M.D. (PRESIDENT)
(305) 788-0947
Entity
Organization
Contact information
Practice address
9980 CENTRAL PARK BLVD N, SUITE 204, BOCA RATON, FL 33428-1762
(305) 788-0947
(561) 479-1680
Mailing address
4001 N OCEAN BLVD, APT B 704, BOCA RATON, FL 33431-5363
(561) 245-8931
(561) 479-1680
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME102239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466500
—
FL
Enumeration date
07/11/2014
Last updated
07/11/2014
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