person
Dr. Wanda I Villanueva Gonzalez, MD
General Practice Physician in Green Cove Springs, Florida
NPI 1477673762

Wanda I Villanueva Gonzalez is a General Practice Physician based in Palatka, FL. Wanda I Villanueva Gonzalez practices in Green Cove Springs, FL and has the professional credentials of MD. The NPI Number for Wanda I Villanueva Gonzalez is 1477673762 and holds a License No. ACN706 (Florida).

The current practice location address for Wanda I Villanueva Gonzalez is 1305 N Orange Ave, Green Cove Springs, FL and can be reached out via phone at 904-284-5904 and via fax at 904-284-5905.

Location: 1305 N Orange Ave, Green Cove Springs, FL, 32177-5042
person
Provider Profile Details
NPI Number
1477673762
Provider Name
Wanda I Villanueva Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1305 N Orange Ave, Green Cove Springs, FL, 32177-5042
Phone Number
904-284-5904
Fax Number
904-284-5905
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IH341Z 01 FL FLORIFA MEDICARE
015593700 05 FL
institution
Provider Business Practice Location Address Details
Address
1305 N Orange Ave
City
State
Zip
32043-2547
Phone Number
904-284-5904
Fax Number
904-284-5905
person
Provider Business Mailing Address Details
Address
1305 N Orange Ave
City
State
Zip
32043-2547
Phone Number
904-284-5904
Fax Number
904-284-5905
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ACN706 (Florida)
Definition
Definition to come...
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