Healthcare Provider Details

I. General information

NPI: 1376723783
Provider Name (Legal Business Name): MARIA JUVY VILLACASTIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9531 N CITRUS SPRINGS BLVD
CITRUS SPRINGS FL
34434-4040
US

IV. Provider business mailing address

9531 N CITRUS SPRINGS BLVD
CITRUS SPRINGS FL
34434-4040
US

V. Phone/Fax

Practice location:
  • Phone: 352-489-2486
  • Fax:
Mailing address:
  • Phone: 352-489-2486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3186012
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: