Individual
LUIS VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3659 S MIAMI AVE, STE. 2007, MIAMI, FL 33133-4227
(305) 854-8080
(305) 854-2450
Mailing address
3659 S MIAMI AVE, STE. 2007, MIAMI, FL 33133-4227
(305) 854-8080
(305) 854-2450
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0018634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037107600
—
FL
Enumeration date
10/11/2005
Last updated
03/23/2011
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