Provider Demographics
NPI:1669490074
Name:VILLAR, LUIS F (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:F
Last Name:VILLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:309 SE OSCEOLA ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2251
Mailing Address - Country:US
Mailing Address - Phone:772-286-3722
Mailing Address - Fax:772-286-7096
Practice Address - Street 1:309 SE OSCEOLA ST
Practice Address - Street 2:SUITE 201
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2251
Practice Address - Country:US
Practice Address - Phone:772-286-3722
Practice Address - Fax:772-286-7096
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0039125208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD56770Medicare UPIN
FL56118AMedicare ID - Type Unspecified