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Individual

JEFFREY VILLARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 571-5844
(850) 571-5845
Mailing address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 571-5844
(850) 571-5845

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5601010098
MI
363AM0700X
Medical Physician Assistant
Primary
5714
SC
363AM0700X
Medical Physician Assistant
PA9109754
FL

Other

Enumeration date
09/25/2016
Last updated
03/17/2025
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