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NPI Code Detail

MEDICARE: VILLA MARGO I

MEDICARE: VILLA MARGO I
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
1310400000XAssisted Living FacilityAL8909FL

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 : 1528290657
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLA MARGO I
Provider Business Mailing Address
First Line : 3644 SW 22ND TER
Second Line :
City : MIAMI
State : FL
Zip : 33145-3006
Country : US
Telephone Number : 305-858-1840
Fax Number : 305-858-1840
Provider Business Practice Location Address
First Line : 3644 SW 22ND TER
Second Line :
City : MIAMI
State : FL
Zip : 33145-3006
Country : US
Telephone Number : 305-858-1840
Fax Number : 305-858-1840
Authorized Official
Title or Position : V/PRESIDENT
Name : MARGARITA PILOTO
Credential :
Telephone Number : 305-858-1840
Provider Enumeration Date : 08/24/2009
Last Update Date : 08/24/2009

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Directions to “VILLA MARGO I ” Practice Location

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