Individual
ORLANDO VILLLANUEVA RENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8351 WESTPORT RD, JACKSONVILLE, FL 32244-5901
(904) 317-8811
(904) 317-4949
Mailing address
8351 WESTPORT RD, JACKSONVILLE, FL 32244-5901
(904) 317-8811
(904) 317-4949
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME72080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255283300
—
FL
05
—
277899800
—
FL
05
—
277899801
—
FL
Enumeration date
07/30/2006
Last updated
08/12/2016
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