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NPI Code Detail

MEDICARE: GEORGE DEL VILLAR M.D.

MEDICARE:   GEORGE  DEL VILLAR  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
1208100000XPhysical Medicine & Rehabilitation PhysicianME99610FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
253228OTHERFLBLUE CROSS IDENTIFIER

General Provider Information

NPI Number : 1396862678
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE DEL VILLAR M.D.
Provider Business Mailing Address
First Line : 475 MAITLAND AVE
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-5444
Country : US
Telephone Number : 407-647-2009
Fax Number : 407-660-2009
Provider Business Practice Location Address
First Line : 475 MAITLAND AVE
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-5444
Country : US
Telephone Number : 407-647-2009
Fax Number : 407-660-2009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 08/08/2013

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Directions to “ GEORGE DEL VILLAR M.D.” Practice Location

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