Individual
DR. HAISEL VILLALONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1801 SW 69TH AVE, PLANTATION, FL 33317-5026
(786) 285-4463
Mailing address
1801 SW 69TH AVE, PLANTATION, FL 33317-5026
(786) 285-4463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4441
FL
152W00000X
Optometrist
OPC4441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001230400
—
FL
01
—
8740
ICARE
FL
Enumeration date
09/10/2009
Last updated
05/07/2026
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