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SINUHE VILA
>> >>Registrant NPI Number: 1285037234
Individual Registrant: SINUHE VILA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
6801 LAKE WORTH RD STE 322 GREENACRES, FL 33467-2966 US
Tel: 561-771-9561 Fax: 800-766-3139
Tel: 561-771-9561 Fax: 800-766-3139
Contact information for business:
237 TAM O SHANTER DR PALM SPRINGS, FL 33461-1906 US
Tel: 561-667-1418 Fax: 561-200-5595
Tel: 561-667-1418 Fax: 561-200-5595
Registration Information:
NPI: 1285037234
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103K00000X | CO | 1-17-27722 | |
| N | 247200000X | Technologists, Technicians & Other Technical Service Providers Technician, Other |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 018274400 | FL | 05 |
