Villegas, Maribel

Villegas, Maribel is an individual health care provider with primary practice located at 319 W Town Pl , Saint Augustine FL 32092-3101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Villegas, Maribel can be contacted via phone (904) 940-1577.

Contact Information

Primary practice address
319 W Town Pl Saint Augustine FL 32092-3101
Phone: (904) 940-1577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 9267529 Florida

Profile Details

NPI number 1346570603
LBN Legal business name Villegas, Maribel
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2010
Last updated Nov 11th, 2012 - about 14 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 1346570603 NPPES
Florida MEDICAID 001774200

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