Active NPI
Poole and Villani, M.D.,'S, P.a.
- Ophthalmology Physician
- Bay Harbor Islands, FL
National Provider Identifier
1053473132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- POOLE AND VILLANI, M.D.,'S, P.A.
- Practice address
- 1111 Kane Concourse Ste 607
Bay Harbor Islands, FL 33154-2044 - Phone
- (305) 674-2047
- Fax
- (305) 674-2939
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Diego Villani, MD
- Title
- President
- Phone
- (305) 674-2047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | FL | Primary |
Addresses
Primary practice location
1111 Kane Concourse Ste 607
Bay Harbor Islands, FL 33154-2044
Mailing address
1111 Kane Concourse Ste 607
Bay Harbor Islands, FL 33154-2044
Phone (305) 674-2047
Other practice location 1
4308 Alton Rd
Suite 870
Miami Beach, FL 33140-4560
Phone (305) 674-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00610119 00 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1111 Kane Concourse
Ste 607
Bay Harbor Islands, FL 33154
Phone (305) 674-2047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605484800000",
"number": "1053473132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 KANE CONCOURSE STE 607",
"city": "BAY HARBOR ISLANDS",
"state": "FL",
"postal_code": "331542044",
"telephone_number": "305-674-2047",
"fax_number": "305-674-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 KANE CONCOURSE STE 607",
"city": "BAY HARBOR ISLANDS",
"state": "FL",
"postal_code": "331542044",
"telephone_number": "305-674-2047",
"fax_number": "305-674-2939"
}
],
"practiceLocations": [
{
"address_1": "4308 Alton Rd",
"address_2": "SUITE 870",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331404560",
"country_code": "US",
"telephone_number": "305-674-2047",
"fax_number": "305-674-2939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "POOLE AND VILLANI, M.D.,'S, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A",
"authorized_official_last_name": "VILLANI",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "DIEGO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-674-2047",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00610119 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Harbor Islands, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.