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Andres R. Villar Md
Rural Health Clinic/Center in Glen St Mary, Florida
NPI 1629162722

Andres R. Villar Md is a Rural Health Clinic/Center based in Glen St Mary, FL and is specialized in Rural Health. Andres R. Villar Md practices in Glen St Mary, FL. The NPI Number for Andres R. Villar Md is 1629162722 and holds a License No. (Florida).

The current practice location address for Andres R. Villar Md is 6704 E Mount Vernon St, Glen St Mary, FL and can be reached out via phone at 904-259-7420 and via fax at 904-259-8366.

Location: 6704 E Mount Vernon St, Glen St Mary, FL, 32040-0606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629162722
Provider Name
Andres R. Villar Md
Credential
Provider Entity Type
Organization
Address
6704 E Mount Vernon St, Glen St Mary, FL, 32040-0606
Phone Number
904-259-7420
Fax Number
904-259-8366
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
660151100 01 FL MEDICAID RURAL HEALTH CLINIC
institution
Provider Business Practice Location Address Details
Address
6704 E Mount Vernon St
City
Glen St Mary
State
Florida
Zip
32040-5050
Phone Number
904-259-7420
Fax Number
904-259-8366
person
Provider Business Mailing Address Details
Address
6704 E Mount Vernon St
City
Glen St Mary
State
Florida
Zip
32040-5050
Phone Number
904-259-7420
Fax Number
904-259-8366
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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