Organization
PALM BEACH CARDIOVASCULAR CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTO E VILLA MD (PARTNER)
(561) 627-2210
Entity
Organization
Contact information
Practice address
601 UNIVERSITY BLVD, SUITE 101B, JUPITER, FL 33458-2788
(561) 627-2210
(561) 627-5850
Mailing address
601 UNIVERSITY BLVD, SUITE 101B, JUPITER, FL 33458-2788
(561) 627-2210
(561) 627-5850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME50208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21776
MEDICARE GROUP NUMBER
FL
Enumeration date
10/05/2007
Last updated
10/05/2007
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