Organization · Type 2 NPI

VMD Primary Providers Central Florida PLLC

Family Medicine Physician · Bradenton, FL

NPI number 1699412478 Active

Practice location

1504 53rd Ave E # 102
Bradenton, FL 34203-4248

Call (407) 798-8800 Map

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.

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NPI record

NPI: 1699412478
Entity type: Organization (Type 2)
Issued: May 13, 2022
Last updated: Jan 14, 2025
Status: Active
Subpart: Yes of VMD Primary Providers Central Florida PLLC

Other names

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Village Medical - Brandenton South · other name
Village Medical - Brandenton South · 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 1699412478

VMD Primary Providers Central Florida PLLC's National Provider Identifier is 1699412478, issued on May 13, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bradenton, FL. The record was last updated on Jan 14, 2025.