CHILDREN'S MEDICAL CENTER
NPI 1356435457
Pediatrics in Lake City, FL

Q: What is Andres R Villar MD's NPI number?

The NPI number for Andres R Villar MD is 1356435457. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Children's Medical Center.

Q: What is Andres R Villar MD's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 03, 2006CLIA 10D0695624 · Waiver

789 W DUVAL ST, LAKE CITY, FL 32055(386) 755-1546(386) 755-2283 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Children's Medical Center NPPES

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

CHILDREN'S MEDICAL CENTER (NPI 1356435457) is a healthcare organization registered as a pediatrics in Lake City, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Andres R Villar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356435457

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameANDRES R VILLAR MD

Location Address789 W DUVAL STLake City, FL 32055-3811

Mailing AddressPo Box 606Glen St Mary, FL 32040-0606 · (904) 653-1818 · Fax (904) 653-1814

Phone(386) 755-1546

Fax(386) 755-2283

Organization SubpartNo

Authorized OfficialAndres R VillarAdministrator · (386) 755-5044

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 22, 2021

NPPES CertifiedJuly 22, 2021

✔ NPI 1356435457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

789 W DUVAL ST, Lake City, FL 32055

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Other Names 1

Doing Business AsChildren's Medical Center

Other Identifiers 1

Medicaid370861600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D0695624

Children's Medical Center · Lake City, FL

Active · expires Aug 31, 2026

CLIA Number10D0695624

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAndres R. Villar

Laboratory Phone(386) 755-1546

Laboratory LocationChildren's Medical Center789 W Duval St, Lake City, FL 32055

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MR. ANDRES R VILLAR MD

Pediatrics