Villanueva, Eva

Villanueva, Eva is an individual health care provider with primary practice located at 400 Health Park Blvd Ste 300 , St Augustine FL 32086-5784. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Villanueva, Eva can be contacted via phone (904) 819-4082.

Contact Information

Primary practice address
400 Health Park Blvd Ste 300 St Augustine FL 32086-5784
Phone: (904) 819-4082
Fax: (904) 819-5156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125066046 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME132602 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME132602 Florida

Profile Details

NPI number 1063829927
LBN Legal business name Villanueva, Eva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2014
Last updated Jun 16th, 2021 - about 5 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 1063829927 NPPES
Florida Other IWUAZ BLUE CROSS

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