| Doctor Name: | MARIBEL VILLEGAS |
| NPI Number: | 1346570603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9267529 |
| Business Practice Address: | 319 W Town Pl Saint Augustine, FL - 320923101 |
| Business Phone Number: | 9049401577 |
| Business Fax Number: | |
| Mailing Address: | 255 Old Village Center Cir, Unit #9206 SAINT AUGUSTINE |
| State: | FL |
| Postal Code: | 320845866 |
| Phone Number: | 9546497792 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2010 |
| NPI Last Update Date: | 11/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 9267529 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |