THE VILLAGE PHYSICIAN LLC

SUMMERFIELD, FL
NPI1972856516
Entity TypeOrganization
Authorized ContactANIS A SHAHMIRI
Owner
352-206-5688
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME0075362)
Enumeration Date2012-10-19
Last Update Date2013-03-28
Business Address
THE VILLAGE PHYSICIAN LLC
10435 SE 170TH PL
SUMMERFIELD, FL 34491-8998
Phone number: 352-347-7332
Mailing Address
THE VILLAGE PHYSICIAN LLC
PO BOX 7
BELLEVIEW, FL 34421-0007
Phone number: 352-347-7332
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