Provider Demographics
NPI:1417613225
Name:VILA, KARLA JOSEFINA (LMT)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:JOSEFINA
Last Name:VILA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11730 SW 233RD LN
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6020
Mailing Address - Country:US
Mailing Address - Phone:305-850-5752
Mailing Address - Fax:
Practice Address - Street 1:8500 SW 92ND ST STE 202B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7379
Practice Address - Country:US
Practice Address - Phone:305-850-5752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-16
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL000043315225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV400-510-82-919-0OtherDRIVERS LICENSE NUMBER