Individual
DR. JESSE VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1150 E VINE ST, KISSIMMEE, FL 34744-3579
(407) 931-2012
Mailing address
1150 E VINE ST, KISSIMMEE, FL 34744-3579
(407) 931-2012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6024
FL
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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