Individual
MANUEL M VILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
8102 NW 158TH TER, MIAMI LAKES, FL 33016-7119
(305) 586-0717
(305) 819-9714
Mailing address
8102 NW 158TH TER, MIAMI LAKES, FL 33016-7119
(305) 586-0717
(305) 819-9714
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9100758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290869700
—
FL
Enumeration date
12/07/2006
Last updated
10/26/2015
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