Individual
PETER MARQUEZ VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
(317) 705-5047
Mailing address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11035119
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11035119
FL
Other
Enumeration date
09/06/2024
Last updated
01/06/2025
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