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CHILDRENS MEDICAL CENTER
NPI 1902571532
Pediatrics in Live Oak, FL

Active since August 16, 2021
1002 11TH ST SW, LIVE OAK, FL 32064(386) 364-8050 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2022, Aug 16, 2021 (2 updates tracked since 2021).

About Childrens Medical Center NPPES

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

CHILDRENS MEDICAL CENTER (NPI 1902571532) is a healthcare organization registered as a pediatrics in Live Oak, Florida and active in the NPI registry since August 2021. The organization lists Andres R Villar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902571532
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANDRES R VILLAR MD
Location Address1002 11TH ST SWLive Oak, FL 32064-3606
Mailing AddressPo Box 606Glen St Mary, FL 32040-0606 · (386) 755-5044
Phone(386) 364-8050
Organization SubpartNo
Authorized OfficialAndres R VillarAdministrator · (386) 755-5044
Enumeration DateAugust 16, 2021
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1902571532 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.
1002 11TH ST SW, Live Oak, FL 32064
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Other Names 1

Doing Business AsChildrens Medical Center

Other Identifiers 1

Medicaid370861607FL

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

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
ANDRES R VILLAR MD
Clinic/Center (Rural Health)
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

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 1902571532. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as Childrens 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 Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Andres R Villar MD was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.