Individual
ELOY VILLASUSO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 WESTON RD STE 103, WESTON, FL 33331-3616
(954) 966-7000
(954) 389-4201
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME0086671
FL
207YX0901X
Otology & Neurotology Physician
Primary
ME0086671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272632700
—
FL
Enumeration date
03/27/2006
Last updated
05/13/2024
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