Most Relevant Information
Provider Data
| NPI Number: | 1003804287 |
| Provider Name: | MARY JO VILLAR D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RH0003X |
| Specialty: | Internal Medicine |
| License Number: | 0S 7470 |
Most Important Dates
| Enumeration Date: | 10/11/2005 |
| Last Updated: | 04/27/2015 |
Provider Practice Location
7600 W 20TH AVE
STE 103-104
HIALEAH
FL
330161821
Practice Location Phone/Fax
| Phone: | 3052313150 |
| Fax: | 3052315020 |
Provider Mailing Location
7600 W 20TH AVE
STE 103-104
HIALEAH
FL
330161821
Provider Mailing Phone/Fax
| Phone: | 3052313150 |
| Fax: | 3052315020 |