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Jose L Villacob
Family Nurse Practitioner in Miami, Florida
NPI 1255936910

Jose L Villacob is a Family Nurse Practitioner based in Miami, FL and is specialized in Family. Jose L Villacob practices in Miami, FL. The NPI Number for Jose L Villacob is 1255936910 and holds a License No. 11004600 (Florida).

The current practice location address for Jose L Villacob is 10425 Sw 112Th Ave Apt 309, Miami, FL and can be reached out via phone at 786-234-8308.

Location: 10425 Sw 112Th Ave Apt 309, Miami, FL, 33176-8214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255936910
Provider Name
Jose L Villacob
Credential
Provider Entity Type
Individual
Gender
Male
Address
10425 Sw 112Th Ave Apt 309, Miami, FL, 33176-8214
Phone Number
786-234-8308
Fax Number
Provider Enumeration Date
12/01/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9465314374 05 FL
institution
Provider Business Practice Location Address Details
Address
10425 Sw 112Th Ave Apt 309
City
Miami
State
Florida
Zip
33176-8214
Phone Number
786-234-8308
Fax Number
person
Provider Business Mailing Address Details
Address
10425 Sw 112Th Ave Apt 309
City
Miami
State
Florida
Zip
33176-8214
Phone Number
786-234-8308
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11004600 (Florida)
Definition
Definition to come...
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