MEDICARE: DR. KATHRYN LOTSPEICH VILLANO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	83205	FL

General Provider Information

NPI Number	:	1124075296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN LOTSPEICH VILLANO M.D.

Provider Business Mailing Address
First Line	:	2666 TIGERTAIL AVE
Second Line	:	#108
City	:	MIAMI
State	:	FL
Zip	:	33133-4694
Country	:	US
Telephone Number	:	305-856-6470
Fax Number	:	305-856-6470

Provider Business Practice Location Address
First Line	:	2666 TIGERTAIL AVE
Second Line	:	#108
City	:	MIAMI
State	:	FL
Zip	:	33133-4694
Country	:	US
Telephone Number	:	305-856-6470
Fax Number	:	305-856-6470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	02/12/2009

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