Organization · Type 2 NPI

VMD Primary Providers Central Florida PLLC

Family Medicine Physician · Jacksonville, FL

NPI number 1215696158 Active

Practice location

5340 Soutel Dr
Jacksonville, FL 32219-3478

Call (407) 798-8800 Map

Fax (321) 333-4292

Mailing address

4650 Westway Park Blvd
Houston, TX 77041-2007

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Jacksonville

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NPI record

NPI: 1215696158
Entity type: Organization (Type 2)
Issued: Dec 8, 2021
Last updated: Jan 14, 2025
Status: Active
Subpart: Yes of VMD Primary Providers Central Florida PLLC

Other names

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Village Medical - Lincoln Villas · other name
Village Medical - Lincoln Villas · other name

Authorized official

Rebecca Rager
Director Revenue Cycle
(844) 969-0686

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215696158

VMD Primary Providers Central Florida PLLC's National Provider Identifier is 1215696158, issued on Dec 8, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 14, 2025.