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ANDRES R VILLAR MD NPI 1801980909


NPI Information

NPI: 1801980909
Provider Name: ANDRES R VILLAR MD

Doing Business As: CHILDREN'S MEDICAL CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 10D1009882

Address:
14861 NW US HIGHWAY 441
ALACHUA, FL
ZIP 32615
Phone: (386) 462-1911
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ANDRES R VILLAR MD is a rural health clinic center in Alachua, FL. ANDRES R VILLAR MD NPI is 1801980909. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Medical Center.

The provider's business location address is:

14861 NW US HIGHWAY 441
ALACHUA, FL
ZIP 32615-203
Phone: (386) 462-1911
Fax: (386) 462-1943

The provider's authorized official is Andres R Villar .
The authorized official title is Administrator and has the following contact phone number (386) 755-5044.

The CLIA number assigned to this NPI record is 10D1009882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1660174000OTHERFLORIDAMEDICAID RURAL HEALTH CLINIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.