Villa, Marivic Delos Reyes
Villa, Marivic Delos Reyes is an individual health care provider with primary practice located at 10250 Se 167Th Place Rd Suite 5, Summerfield FL 34491-8686. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Villa, Marivic Delos Reyes can be contacted via phone (352) 307-9925.Contact Information
Primary practice address
10250 Se 167Th Place Rd Suite 5
Summerfield FL 34491-8686
Phone: (352) 307-9925
Fax: (352) 307-8442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME68756 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME68756 | Florida |
Profile Details
| NPI number | 1629092564 |
|---|---|
| LBN Legal business name | Villa, Marivic Delos Reyes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Apr 8th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629092564 | NPPES |
| Florida | MEDICAID | 378148800 |
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