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NPI Code Detail

MEDICARE: DR. YVELICE ANTONIA VILLAMAN MD

MEDICARE:  DR. YVELICE ANTONIA VILLAMAN  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
1174400000XSpecialistFL

General Provider Information

NPI Number : 1851339881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YVELICE ANTONIA VILLAMAN MD
Provider Business Mailing Address
First Line : 7857 NW 192ND ST
Second Line :
City : MIAMI
State : FL
Zip : 33015-2757
Country : US
Telephone Number : 305-469-9718
Fax Number : 305-857-0653
Provider Business Practice Location Address
First Line : 17900NW5TH ST 103
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33029-2809
Country : US
Telephone Number : 954-392-0333
Fax Number : 954-392-0393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 08/31/2015

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Directions to “ DR. YVELICE ANTONIA VILLAMAN MD” Practice Location

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