NPI | 1619507431 |
---|---|
Doing Business As | VILLA HEALTH SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | MARIVIC DELOS REYES VILLA President 352-561-6299 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-22 |