Individual
DR. CARLOS R VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
28 BLANDING BLVD, ORANGE PARK, FL 32073-2202
(904) 264-5483
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3839
FL
Other
Enumeration date
10/31/2005
Last updated
03/17/2018
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