Individual
DR. DOREEN MICHELE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
20851 LAKE TALIA BLVD, LAND O LAKES, FL 34638-3701
(813) 205-1915
Mailing address
20851 LAKE TALIA BLVD, LAND O LAKES, FL 34638-3701
(813) 205-1915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F08201359
FL
363L00000X
Nurse Practitioner
Primary
APRN11012653
FL
Other
Enumeration date
09/14/2020
Last updated
02/18/2022
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