ANDRES R VILLAR MD (NPI# 1689768772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689768772 |
| Entity Type | Organization |
| Organization Name | ANDRES R VILLAR MD |
| Other Organization Name | CHILDREN'S MEDICAL CENTER |
| Practice Address |
122 Suwannee Ave Sw Branford FL 32008-2749 |
| Mailing Address |
Po Box 606 Glen St Mary FL 32040-0606 |
| Practice Telephone | 3869352998 |
| Practice Fax Number | 3869351153 |
| Mailing Telephone | 9046531818 |
| Mailing Fax Number | 9046531814 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | ANDRES R VILLAR (ADMINISTRATOR) |
| Authorized Official Telephone | 3867555044 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID RURAL HEALTH CLINIC | 660213400 | 01 |
| FL | 370861614 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538253638 | Andres R Villar Md | Clinic/Center | 1419 S 6th St, Macclenny, FL 32063-4624 | 2006-10-03 |
| 1356435457 | Andres R Villar Md | Clinic/Center | 319 W Call St, Suite B, Starke, FL 32091-3113 | 2006-10-03 |
| 1295829398 | Andres R Villar Md | Clinic/Center | 1002 11th St Sw, Live Oak, FL 32064-3606 | 2006-10-03 |
| 1497754154 | Andres R Villar Md | Clinic/Center | 789 W Duval St, Lake City, FL 32055-3811 | 2005-07-15 |
| 1841384948 | Andres R Villar Md | Counselor | 871 Sw State Road 47, Lake City, FL 32025-0433 | 2006-10-03 |
| 1801980909 | Andres R Villar Md | Clinic/Center | 14861 Nw Us Highway 441, Alachua, FL 32615-8203 | 2006-10-03 |
| Street Address |
122 SUWANNEE AVE SW |
| City | BRANFORD |
| State | FL |
| Zip Code | 32008-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130548 | Kellie Ann White | Nurse Practitioner | 103 Us Highway 27, Branford, FL 32008 | 2020-07-01 |
| 1609382795 | Kristin Hope Mcintosh | Nurse Practitioner | 103 Us-27, Branford, FL 32008 | 2017-12-27 |
| 1457749897 | Holly M Reed | Registered Nurse | 103 Us Hwy 27, Branford, FL 32008 | 2015-01-08 |
| 1891874707 | Florida Department of Health | Public Health or Welfare | 120 Suwannee Ave, Branford, FL 32008 | 2006-11-02 |
| 1194140319 | Janice Baucom | Nurse Practitioner | 109 S.w. Savannah Ave., Branford, FL 32008 | 2014-02-25 |
| 1659487049 | Nancy Lee Cooper | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2006-08-21 |
| 1568657716 | Cooper Chiropractic, Inc. | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2007-09-11 |
| 1437461969 | Tracy D. Lamb | Developmental Therapist | 26082 Hwy 247, Branford, FL 32008-0744 | 2010-07-13 |
| 1639199243 | Bienvenido Samera | Family Medicine | 303 Suwannee Ave, Branford, FL 32008-0846 | 2006-07-20 |
| 1881246155 | Ajm Transport Company LLC | Non-emergency Medical Transport (VAN) | 4352 282nd Ter, Branford, FL 32008-2374 | 2019-07-16 |
| Find all providers in zip 32008 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578644936 | Raymond Charles Seligson | Pediatrics | 420 E Main St # 6, Branford, CT 06405 | 2006-10-18 |
| 1235130378 | Stuart William Gardner | Pediatrics | 2 Summit Pl, Suite 3-g, Branford, CT 06405-4100 | 2005-08-10 |
| 1083815492 | Robert G Dorr | Pediatrics | 420 E Main St, #6, Branford, CT 06405 | 2007-05-31 |
| 1619020567 | Dawn C Torres | Pediatrics | 682 E Main St, Branford, CT 06405-2907 | 2007-01-22 |
| 1023167913 | Alan Meyers | Pediatrics | 682 E Main St, Branford, CT 06405-2907 | 2007-01-09 |
| 1376692160 | Jonathan Eric Harwin | Pediatrics | 682 E Main St, Branford, CT 06405-2907 | 2007-01-09 |
| 1093873994 | Linda Ann Waldman | Pediatrics | 682 E Main St, Branford, CT 06405-2907 | 2006-12-04 |
| 1831270297 | Robert George Dorr | Pediatrics | 420 E Main St # 6, Branford, CT 06405 | 2006-10-18 |
| 1730117938 | Jennifer L Young | Pediatrics | 784 E Main St, Branford, CT 06405-2918 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.