Healthcare Provider Details

I. General information

NPI: 1336044460
Provider Name (Legal Business Name): VILLA MEDCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10550 NW 77TH CT STE 305
HIALEAH GARDENS FL
33016-2071
US

IV. Provider business mailing address

10550 NW 77TH CT STE 305
HIALEAH GARDENS FL
33016-2071
US

V. Phone/Fax

Practice location:
  • Phone: 786-782-7738
  • Fax: 833-523-2326
Mailing address:
  • Phone: 786-782-7738
  • Fax: 833-523-2326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: LUIGI ERRINI
Title or Position: CEO
Credential:
Phone: 786-782-7738