Individual
NIVIA ELIS RODRIGUEZ VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2604 S HWY 27, CLERMONT, FL 34711-6526
(844) 665-4827
Mailing address
2604 S HWY 27, CLERMONT, FL 34711-6526
(844) 665-4827
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14993-I
PR
208D00000X
General Practice Physician
Primary
ACN1283
FL
Other
Enumeration date
06/05/2019
Last updated
02/22/2024
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