| Andres R Villar Md | |
|
789 W Duval St Lake City FL 32055-3811 | |
| (386) 755-1546 | |
| (386) 755-2283 |
| Full Name | Andres R Villar Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 789 W Duval St, Lake City, Florida |
| Authorized Official Name and Position | Andres R Villar (ADMINISTRATOR) |
| Authorized Official Contact | 3867555044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andres R Villar Md Po Box 606 Glen St Mary FL 32040-0606 Ph: (904) 653-1818 | Andres R Villar Md 789 W Duval St Lake City FL 32055-3811 Ph: (386) 755-1546 |
| NPI Number | 1497754154 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 5092623439 |
|---|---|
| Medicare Enrollment ID | O20041014001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497754154 | NPI | - | NPPES |
| 370861604 | Other | FL | MEDICAID RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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