Individual
DR. JENNIFER AMELIA VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-3303
(321) 841-3305
Mailing address
60 W GORE ST, ORLANDO, FL 32806-1141
(321) 841-3303
(321) 841-3305
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME105285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005975600
—
FL
01
—
ME105285
MEDICAL LICENSE
FL
Enumeration date
10/02/2008
Last updated
07/02/2019
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