Individual
DR. MARY CARMEN VILLAR ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 SW 75TH AVE, MIAMI, FL 33155-2805
(305) 281-7610
Mailing address
4730 SW 83RD AVE, MIAMI, FL 33155-5441
(305) 281-7610
(305) 884-3989
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19738
PR
208D00000X
General Practice Physician
Primary
ACN1107
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN28885
FL
Other
Enumeration date
08/29/2016
Last updated
07/26/2021
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