MEDICARE: JOHN F VILLA MD

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	207P00000X	Emergency Medicine Physician	050278	GA
2	207Q00000X	Family Medicine Physician	ME72523	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457328205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F VILLA MD

Provider Business Mailing Address
First Line	:	7240 7TH PLACE NORTH
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33441
Country	:	US
Telephone Number	:	561-969-6663
Fax Number	:	561-996-7760

Provider Business Practice Location Address
First Line	:	7240 7TH PLACE NORTH
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33441
Country	:	US
Telephone Number	:	561-969-6663
Fax Number	:	561-996-7760

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	12/11/2012

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Directions to “ JOHN F VILLA MD” Practice Location

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