Villa, Jacy

Villa, Jacy is an individual health care provider with primary practice located at 2623 S Seacrest Blvd Suite 216, Boynton Beach FL 33435-7501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Villa, Jacy can be contacted via phone (561) 742-0065.

Contact Information

Primary practice address
2623 S Seacrest Blvd Suite 216 Boynton Beach FL 33435-7501
Phone: (561) 742-0065
Fax: (561) 742-0105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 24551 New Hampshire
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME80441 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME80441 Florida

Profile Details

NPI number 1811995434
LBN Legal business name Villa, Jacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Aug 9th, 2023 - about 3 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 1811995434 NPPES
Florida Other P1035622 FREEDOM
Florida Other 279218 FREEDOM
Florida Other 14392 FREEDOM
Florida Other P01594402 FREEDOM
Florida Other 5753526 FREEDOM
Florida Other 8490121 FREEDOM
Florida Other P971389 FREEDOM
Florida Other 57987 FREEDOM

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