| Fernando Mendez Villamil | |
|
1898 Sw 22nd Street Suite B Miami FL 33145-2731 | |
| (305) 860-8484 | |
| (305) 860-2084 |
| Full Name | Fernando Mendez Villamil |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1898 Sw 22nd Street, Miami, Florida |
| Authorized Official Name and Position | Fernando Mendez Villamil (OWNER) |
| Authorized Official Contact | 3088608484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Mendez Villamil 1898 Sw 22nd Street Suite B Miami FL 33145-2731 Ph: (305) 860-8484 | Fernando Mendez Villamil 1898 Sw 22nd Street Suite B Miami FL 33145-2731 Ph: (305) 860-8484 |
| NPI Number | 1659545192 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659545192 | NPI | - | NPPES |
| 600012584 | Other | FL | MAGELLAN HEALTH SERVICES |
| 255161600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0075685 (Florida) | Primary |
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