Organization
FERNANDO MENDEZ VILLAMIL MD PA
Active
Other names
Fernando Mendez Villamil
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO MENDEZ VILLAMIL M.D. (OWNER)
(308) 860-8484
Entity
Organization
Contact information
Practice address
1898 SW 22ND STREET, SUITE B, MIAMI, FL 33145-2731
(305) 860-8484
(305) 860-2084
Mailing address
1898 SW 22ND STREET, SUITE B, MIAMI, FL 33145-2731
(305) 860-8484
(305) 860-2084
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0075685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255161600
—
FL
01
—
600012584
MAGELLAN HEALTH SERVICES
FL
Enumeration date
04/16/2008
Last updated
10/14/2010
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