Organization Name: | OSIAS M VILLAFLOR, MD, PSC |
NPI Number: | 1083940076 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OSIAS M VILLAFLOR (PRESIDENT) |
Mailing Address: | 2300 Concrete Rd Carlisle |
State: | KY US |
Postal Code: | 403119721 |
Phone Number: | 8592892651 |
Fax Number: | 8592892351 |
NPI Enumeration Date: | 10/26/2009 |
NPI Last Update Date: | 10/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 21730 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |