Villanueva Gonzalez, Wanda I
Villanueva Gonzalez, Wanda I is an individual health care provider with primary practice located at 1305 N Orange Ave , Green Cove Springs FL 32043-2547. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Villanueva Gonzalez, Wanda I can be contacted via phone (904) 284-5904.Contact Information
Primary practice address
1305 N Orange Ave
Green Cove Springs FL 32043-2547
Phone: (904) 284-5904
Fax: (904) 284-5905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN706 | Florida |
Profile Details
| NPI number | 1477673762 |
|---|---|
| LBN Legal business name | Villanueva Gonzalez, Wanda I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Apr 12th, 2019 - about 7 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 | 1477673762 | NPPES |
| Florida | Other | IH341Z | FLORIFA MEDICARE |
| Florida | MEDICAID | 015593700 | FLORIFA MEDICARE |
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