| NPI | 1811611379 |
|---|---|
| Other Name | VILLAGE MEDICAL AT HOME |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Dir Of Rev Cycle 904-844-2271 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-01-26 |