Children'S Medical Center

LBN: Andres R Villar Md
Children'S Medical Center is an health care organization with primary practice located at 789 W Duval St , Lake City FL 32055-3811. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Andres R Villar Md can be contacted via phone (386) 755-1546, or through Villar, Andres R via phone (386) 755-5044.

Contact Information

Primary practice address
789 W Duval St Lake City FL 32055-3811
Fax: (386) 755-2283
Website:
Authorized official contact:
Name: Villar, Andres R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1497754154
LBN Legal business name Andres R Villar Md
DBA Doing business as Children'S Medical Center
Authorized official Villar, Andres R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497754154 NPPES
Florida Other 370861604 MEDICAID RURAL HEALTH CLINIC

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