Organization
MARIO R VILLOCH MD GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO R VILLOCH M.D., (PRESIDENT)
(305) 856-6081
Entity
Organization
Contact information
Practice address
2075 SW 27TH AVE FL 1, MIAMI, FL 33145-2540
(305) 856-6081
(305) 854-5968
Mailing address
5005 ORDUNA DR, CORAL GABLES, FL 33146-2036
(305) 662-2592
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME 59094
FL
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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