Individual
GEORGE DEL VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-5444
(407) 647-2009
(407) 660-2009
Mailing address
475 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-5444
(407) 647-2009
(407) 660-2009
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME99610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02625327
—
NY
01
—
53228
BLUE CROSS IDENTIFIER
FL
Enumeration date
03/23/2007
Last updated
08/08/2013
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