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Dr. Patrick Villicana
Urology Physician in Plantation, Florida
NPI 1952479008

Patrick Villicana is a Urology Physician based in Fort Myers, FL. Patrick Villicana practices in Plantation, FL. The NPI Number for Patrick Villicana is 1952479008 and holds a License No. TRN7728 (Florida).

The current practice location address for Patrick Villicana is 180 Sw 84Th Ave, Plantation, FL and can be reached out via phone at 954-474-2929 and via fax at 954-474-9708. You can also correspond with Patrick Villicana through the mailing address at 2234 COLONIAL BLVD, FORT MYERS, FL - 33907-1412 (mailing address contact number: 239-931-7342).

Location: 180 Sw 84Th Ave, Plantation, FL, 33907-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952479008
Provider Name
Patrick Villicana
Credential
Provider Entity Type
Individual
Gender
Male
Address
180 Sw 84Th Ave, Plantation, FL, 33907-1412
Phone Number
954-474-2929
Fax Number
954-474-9708
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
QMP000003918664 01 FL MOLINA
146WM 01 FL BCBS FL
12391 01 FL DIMENSIONS HEALTH
F00314331603 01 FL UNITED HEALTHCARE
336048 01 FL AVMED
9763431 01 FL AETNA
P943004 01 FL OPTIMUM
PRL00000274175 01 FL PREFERRED MEDICAL PLAN
4465503 01 FL CIGNA
P983677 01 FL FREEDOM HEALTH
institution
Provider Business Practice Location Address Details
Address
180 Sw 84Th Ave
City
Plantation
State
Florida
Zip
33324-2731
Phone Number
954-474-2929
Fax Number
954-474-9708
person
Provider Business Mailing Address Details
Address
180 Sw 84Th Ave
City
Plantation
State
Florida
Zip
33324-2731
Phone Number
954-474-2929
Fax Number
954-474-9708
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
TRN7728 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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