Organization · Type 2 NPI

Andres R Villar MD

Rural Health Clinic/Center · Live Oak, FL

NPI number 1295829398 Active

Practice location

1002 11th St SW
Live Oak, FL 32064-3606

Call (386) 364-8050 Map

Fax (386) 364-7068

Mailing address

PO Box 606
Glen St. Mary, FL 32040-0606

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

Andres R Villar MDPediatrics Physician Live Oak, FL NPI 1902571532
Amber Ingram Chauncey, ARNPPediatric Nurse Practitioner Live Oak, FL NPI 1043219645
Vicente Manuel Martinez Cardenas, PNP-BC, ARNPPediatric Nurse Practitioner Live Oak, FL NPI 1679809180

Other rural health clinic/center providers in Live Oak

See all in Live Oak →

NPI record

NPI: 1295829398
Entity type: Organization (Type 2)
Issued: Oct 3, 2006
Last updated: Jul 22, 2021
Status: Active

Other names

<unavail>
Children's Medical Center · doing business as
Children's Medical Center · doing business as

Authorized official

Andres R Villar, MD
Administrator
(386) 755-5044

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295829398

Andres R Villar MD's National Provider Identifier is 1295829398, issued on Oct 3, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Live Oak, FL. The record was last updated on Jul 22, 2021.