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NPI Code Detail

MEDICARE: ANDRES R VILLAR MD

MEDICARE: ANDRES R VILLAR 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
1261QR1300XRural Health Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1497754154
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDRES R VILLAR MD
Provider Business Mailing Address
First Line : PO BOX 606
Second Line :
City : GLEN ST MARY
State : FL
Zip : 32040-0606
Country : US
Telephone Number : 904-653-1818
Fax Number : 904-653-1814
Provider Business Practice Location Address
First Line : 789 W DUVAL ST
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-3811
Country : US
Telephone Number : 386-755-1546
Fax Number : 386-755-2283
Authorized Official
Title or Position : ADMINISTRATOR
Name : DR. ANDRES R VILLAR
Credential : MD
Telephone Number : 386-755-5044
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/22/2021

Similar Medicare Providers

1164421855 — MR. ANDRES R VILLAR MD
Practice Location Address:
789 W DUVAL ST
LAKE CITY, FL
32055-3811
Practice Phone: 386-755-5044
Practice Fax: 386-755-2518
1295741221 — ROBERT LEONARD YELKEN P.A.
Practice Location Address:
789 W DUVAL ST
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1356435457 — ANDRES R VILLAR MD
Practice Location Address:
789 W DUVAL ST
LAKE CITY, FL
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Practice Fax: 386-755-2283
1598014805 — CHARLES C GREENE MD PHD PA
Practice Location Address:
789 W DUVAL ST
LAKE CITY, FL
32055-3811
Practice Phone: 904-419-2054
Practice Fax:
1467881300 — MEGAN MARIE CONTINI ARNP
Practice Location Address:
789 W DUVAL ST
LAKE CITY, FL
32055-3811
Practice Phone: 386-755-1546
Practice Fax: 386-755-2283
1487005005 — MRS. PATRICIA CARR ARNP
Practice Location Address:
789 W DUVAL ST
LAKE CITY, FL
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Practice Phone: 386-755-1546
Practice Fax: 386-755-2283

Directions to “ANDRES R VILLAR MD ” Practice Location

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