Provider Demographics
NPI:1487643219
Name:VILLAR, ANN-MARGARET C (DO)
Entity Type:Individual
Prefix:
First Name:ANN-MARGARET
Middle Name:C
Last Name:VILLAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3920
Mailing Address - Country:US
Mailing Address - Phone:954-430-9300
Mailing Address - Fax:954-450-2833
Practice Address - Street 1:18425 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1415
Practice Address - Country:US
Practice Address - Phone:954-430-9300
Practice Address - Fax:954-450-2833
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS7682208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260996700Medicaid