Villagomez, Karen Ann

Villagomez, Karen Ann is an sole proprietor health care provider with primary practice located at 2905 N Military Trl Ste G , West Palm Beach FL 33409-2921. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Villagomez, Karen Ann can be contacted via phone (561) 684-5548.

Contact Information

Primary practice address
2905 N Military Trl Ste G West Palm Beach FL 33409-2921
Phone: (561) 684-5548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 4236 Florida

Profile Details

NPI number 1255521613
LBN Legal business name Villagomez, Karen Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated Jul 8th, 2013 - about 11 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 1255521613 NPPES
Florida MEDICAID 621278600

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