Lacandola, Marie Desiree Villaruz

Lacandola, Marie Desiree Villaruz is an individual health care provider with primary practice located at 201 Hilda St Ste 12 , Kissimmee FL 34741-2359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lacandola, Marie Desiree Villaruz can be contacted via phone (407) 933-6626.

Contact Information

Primary practice address
201 Hilda St Ste 12 Kissimmee FL 34741-2359
Phone: (407) 933-6626
Fax: (407) 933-6628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9271357 Florida

Profile Details

NPI number 1962837419
LBN Legal business name Lacandola, Marie Desiree Villaruz
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2013
Last updated Sep 26th, 2020 - about 6 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 1962837419 NPPES
Florida MEDICAID 010300300

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