Individual
ALCESTE VILLASUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(727) 412-4903
(954) 985-1434
Mailing address
951 BRICKELL AVE APT 710, MIAMI, FL 33131-3933
(727) 412-4903
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ARNP11005301
FL
363LP0200X
Pediatric Nurse Practitioner
APRN11005301
FL
Other
Enumeration date
03/12/2020
Last updated
03/23/2021
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