Wanda I Villanueva Gonz in Green Cove Springs - General Practice
Wanda I Villanueva Gonz - NPI 1477673762
Wanda I Villanueva Gonz is a General Practice in Green Cove Springs, Florida. Wanda I Villanueva Gonz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wanda I Villanueva Gonz is 1477673762. The last update date is 2019-04-12.
Wanda I Villanueva Gonz's current location address is 1305 N Orange Ave, Green Cove Springs, Florida. You can contact this provider via phone number 9042845904 and fax number 9042845905. The mailing address for Wanda I Villanueva Gonz is 1305 N Orange Ave, Green Cove Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda I Villanueva Gonz |
|---|---|
| Address | 1305 N Orange Ave, Green Cove Springs, Florida |
| Phone Number | 9042845904 |
| Fax Number | 9042845905 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477673762 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2019-04-12 |
Provider Mailing Address Detail
| Address | 1305 N Orange Ave |
|---|---|
| City | Green Cove Springs |
| State | Florida (FL) |
| Post Code | 320432547 |
| Phone Number | 9042845904 |
| Fax Number | 9042845905 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | ACN706 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IH341Z | FL | FLORIFA MEDICARE | |
| 15593700 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Wanda I Villanueva Gonz by the Centers for Medicare & Medicaid Services?
The Wanda I Villanueva Gonz has been issued the NPI (National Provider Identifier) 1477673762. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Wanda I Villanueva Gonz?
The Wanda I Villanueva Gonz is situated at 1305 N Orange Ave, in the city of Green Cove Springs, state of FL, with the zip code 320432547.
What is the area of specialization for Wanda I Villanueva Gonz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wanda I Villanueva Gonz is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477673762 to Wanda I Villanueva Gonz?
The Centers for Medicare & Medicaid Services assigned the 1477673762 to Wanda I Villanueva Gonz on 2007-03-30.
When was the information related to Wanda I Villanueva Gonz most recently updated or refreshed?
The details pertaining to the Wanda I Villanueva Gonz, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-12.