Children'S Medical Center

LBN: Andres R Villar Md
Children'S Medical Center is an health care organization with primary practice located at 6704 E Mount Vernon St , Glen St Mary FL 32040-5050. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Andres R Villar Md can be contacted via phone (904) 259-7420, or through Villar, Andres R via phone (386) 755-5044.

Contact Information

Primary practice address
6704 E Mount Vernon St Glen St Mary FL 32040-5050
Phone: (904) 259-7420
Fax: (904) 259-8366
Website:
Map and Directions
Authorized official contact:
Name: Villar, Andres R Doctor of Medicine (MD)
Phone: (386) 755-5044

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1689768772
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 Oct 3rd, 2006
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 1689768772 NPPES
Florida MEDICAID 370861606

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