Individual
MARIA FERNANDA NOVOA VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1890 LPGA BLVD STE 160, DAYTONA BEACH, FL 32117-7138
(386) 252-4701
Mailing address
1890 LPGA BLVD STE 160, DAYTONA BEACH, FL 32117-7138
(386) 252-4701
(386) 253-9410
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME153956
FL
Other
Enumeration date
05/24/2018
Last updated
09/08/2022
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