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CHILDREN'S MEDICAL CENTER
NPI 1295829398
Clinic/Center - Rural Health in Live Oak, FL

Active since October 03, 2006CLIA 10D0985941 · Waiver
1002 11TH ST SW, LIVE OAK, FL 32064(386) 364-8050(386) 364-7068 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Children's Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDREN'S MEDICAL CENTER (NPI 1295829398) is a healthcare organization registered as a rural health in Live Oak, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Andres R Villar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295829398
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameANDRES R VILLAR MD
Location Address1002 11TH ST SWLive Oak, FL 32064-3606
Mailing AddressPo Box 606Glen St Mary, FL 32040-0606 · (904) 653-1818 · Fax (904) 653-1814
Phone(386) 364-8050
Fax(386) 364-7068
Organization SubpartNo
Authorized OfficialAndres R VillarAdministrator · (386) 755-5044
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1295829398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1002 11TH ST SW, Live Oak, FL 32064
Open in Google Maps ↗

Other Names 1

Doing Business AsChildren's Medical Center

Other Identifiers 1

Other370861601FL · Medicaid Rural Health Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0985941

Childrens Medical Center · Glen Saint Mary, FL
Active · expires May 1, 2027
CLIA Number10D0985941
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorAndres R. Villar
Laboratory Phone(386) 755-5044
Laboratory LocationChildrens Medical Center6704 E Mount Vernon St, Glen Saint Mary, FL 32040
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMBER INGRAM CHAUNCEY ARNP
Nurse Practitioner (Pediatrics)
1002 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 364-8050
VICENTE MANUEL MARTINEZ CARDENAS PNP-BC, ARNP
Nurse Practitioner (Pediatrics)
1002 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 364-8050
ANDRES R VILLAR MD
Pediatrics
1002 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 364-8050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andres R Villar MD's NPI number?

The NPI number for Andres R Villar MD is 1295829398. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Children's Medical Center.

Where is Andres R Villar MD located?

Andres R Villar MD is located at 1002 11th St SW, Live Oak, FL 32064. The listed phone number is (386) 364-8050.

What is Andres R Villar MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Andres R Villar MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0985941) is associated with this NPI, valid through May 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Andres R Villar MD was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.