Organization
ANDRES R VILLAR MD
Active
Other names
Children's Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES R VILLAR MD (ADMINISTRATOR)
(386) 755-5044
Entity
Organization
Contact information
Practice address
14861 NW US HIGHWAY 441, ALACHUA, FL 32615-8203
(386) 462-1911
(386) 462-1943
Mailing address
PO BOX 606, GLEN ST MARY, FL 32040-0606
(904) 653-1818
(904) 653-1814
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660174000
MEDICAID RURAL HEALTH CLINIC
FL
Enumeration date
10/03/2006
Last updated
07/22/2021
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