MEDICARE: JONJON VILLEGAS

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	1041C0700X	Clinical Social Worker	SW26147	FL

General Provider Information

NPI Number	:	1619807443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONJON VILLEGAS

Provider Business Mailing Address
First Line	:	308 E STRONG ST UNIT B
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32501-3269
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1622 BLACKWELL LN
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-7587
Country	:	US
Telephone Number	:	850-471-1636
Fax Number	:

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

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “ JONJON VILLEGAS ” Practice Location

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