Doctor Name: | MARY JO VILLAR |
NPI Number: | 1003804287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 0S 7470 |
Business Practice Address: | 7600 W 20th Ave Ste 103-104 Hialeah, FL - 330161821 |
Business Phone Number: | 3052313150 |
Business Fax Number: | 3052315020 |
Mailing Address: | 7600 W 20th Ave, Ste 103-104 HIALEAH |
State: | FL |
Postal Code: | 330161821 |
Phone Number: | 3052313150 |
Fax Number: | 3052315020 |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | 0S 7470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |