Individual
MARIE-CLAIRE D VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
227 SYKES LOOP DR, MERRITT ISLAND, FL 32953-3074
(321) 213-0249
(866) 590-7237
Mailing address
227 SYKES LOOP DR, MERRITT ISLAND, FL 32953-3074
(321) 213-0249
(866) 590-7237
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390453900
—
FL
Enumeration date
10/29/2006
Last updated
12/29/2020
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