Organization
VILLA HEALTH PULMONARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIVIC VILLA MD (PRESIDENT)
(352) 561-6299
Entity
Organization
Contact information
Practice address
1507 BUENOS AIRES BLVD, THE VILLAGES, FL 32159-8974
(352) 561-6299
Mailing address
1507 BUENOS AIRES BLVD, THE VILLAGES, FL 32159-8974
(352) 561-6299
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F30701
UPIN
FL
Enumeration date
02/04/2020
Last updated
02/04/2020
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