Chaves Villamil, Luis Guillermo
Chaves Villamil, Luis Guillermo is an individual health care provider with primary practice located at 1400 E Oakland Park Blvd Ste 210, Oakland Park FL 33334-4400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Chaves Villamil, Luis Guillermo can be contacted via phone (954) 561-6222.Contact Information
Primary practice address
1400 E Oakland Park Blvd Ste 210
Oakland Park FL 33334-4400
Phone: (954) 561-6222
Fax: (954) 990-7650
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME115744 | Florida |
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | ME115744 | Florida |
Profile Details
NPI number | 1831331289 |
---|---|
LBN Legal business name | Chaves Villamil, Luis Guillermo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2009 |
Last updated | Dec 6th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831331289 | NPPES |
Florida | MEDICAID | 013193800 | |
Florida | Other | HX727Z |
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