Individual
MISS BIANCA RHEA VILLAFUERTE SCICCHITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
4525 SW 13TH ST, GAINESVILLE, FL 32608-3901
(352) 377-8619
Mailing address
4525 SW 13TH ST, GAINESVILLE, FL 32608-3901
(352) 870-9551
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9114039
FL
363AM0700X
Medical Physician Assistant
Primary
PA9114039
FL
Other
Enumeration date
04/08/2021
Last updated
07/23/2025
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