Provider Demographics
NPI:1669273199
Name:LLOVET VILLAMIL, SUSET LISVET
Entity type:Individual
Prefix:
First Name:SUSET
Middle Name:LISVET
Last Name:LLOVET VILLAMIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 E RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3636
Mailing Address - Country:US
Mailing Address - Phone:561-403-4761
Mailing Address - Fax:
Practice Address - Street 1:2151 45TH ST STE 202
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2009
Practice Address - Country:US
Practice Address - Phone:561-823-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician