NPI 1053370874

Bruce Villas, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Jacksonville, FL

Practice location

Address: 655 W 8th St Ufjp Pathology Dept., Jacksonville, FL 32209-6511
Phone: (904) 244-4861
Fax: (904) 244-4290
Mailing address: PO Box 44008 Ufjp Provider Enrollment, Jacksonville, FL 32231-4008

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence ME54731 (FL)

Other Pathology providers in Florida →

Hematology (Pathology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZH0000X Licence ME54731 (FL)

Registry record

NPI: 1053370874
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2006
Record last updated: 25 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.