Organization · Type 2 NPI

VMD Primary Providers Central Florida PLLC

Family Medicine Physician · St. Petersburg, FL

NPI number 1477293801 Active

Practice location

5405 66th St N
St. Petersburg, FL 33709-1510

Call (407) 798-8800 Map

Mailing address

4650 Westway Park Blvd Ste 206
Houston, TX 77041-2006

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.

5 other providers at this address

Other family medicine physician providers in St. Petersburg

See all in St. Petersburg →

NPI record

NPI: 1477293801
Entity type: Organization (Type 2)
Issued: Apr 1, 2022
Last updated: Jan 14, 2025
Status: Active
Subpart: Yes of VMD Primary Providers Central Florida PLLC

Other names

<unavail>
Village Medical - West Lealman · other name

Authorized official

Rebecca Rager
Director Revenue Cycle
(844) 969-0686

Verify this record

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.

Is this your record? How to update it.

About NPI 1477293801

VMD Primary Providers Central Florida PLLC's National Provider Identifier is 1477293801, issued on Apr 1, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 14, 2025.