Individual
MR. RICARDO DONATO VILLALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1000 RIVERSIDE DR, FORT LAUDERDALE, FL 33312-7611
(954) 405-0779
Mailing address
1000 RIVERSIDE DR, FORT LAUDERDALE, FL 33312-7611
(954) 405-0779
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3978
FL
Other
Enumeration date
09/05/2018
Last updated
12/03/2020
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