GENESIS B VILLANUEVA

JACKSONVILLE, FL
NPI1447521968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT27082)
Enumeration Date2012-01-13
Last Update Date2015-02-04
Business Address
-- GENESIS B VILLANUEVA PT
12961 N MAIN ST STE 201&202 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32218-2769
Phone number: 904-757-2474
Mailing Address
-- GENESIS B VILLANUEVA PT
PO BOX 40767 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32203-0767
Phone number: 904-376-3707
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