Organization · Type 2 NPI

Andres R. Villar MD

Rural Health Clinic/Center · Glen St. Mary, FL

NPI number 1629162722 Active

Practice location

6704 E Mount Vernon St
Glen St. Mary, FL 32040-5050

Call (904) 259-7420 Map

Fax (904) 259-8366

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...

2 other providers at this address

NPI record

NPI: 1629162722
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 1629162722

Andres R. Villar MD's National Provider Identifier is 1629162722, issued on Oct 3, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Glen St. Mary, FL. The record was last updated on Jul 22, 2021.