Vila, Manuel M

Vila, Manuel M is an sole proprietor health care provider with primary practice located at 8102 Nw 158Th Ter , Miami Lakes FL 33016-7119. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Vila, Manuel M can be contacted via phone (305) 586-0717.

Contact Information

Primary practice address
8102 Nw 158Th Ter Miami Lakes FL 33016-7119
Phone: (305) 586-0717
Fax: (305) 819-9714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9100758 Florida

Profile Details

NPI number 1720147515
LBN Legal business name Vila, Manuel M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Oct 26th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720147515 NPPES
Florida MEDICAID 290869700

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