Individual
INGRID VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5724 BYRON ANTHONY PLCAE, APARTMENT 312, SANFORD, FL 32771-8635
(787) 420-3685
Mailing address
5724 BYRON ANTHONY PLCAE, APARTMENT 312, SANFORD, FL 32771-8635
(787) 420-3685
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38933
FL
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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