Villages Internal Medicine And Senior Clinic Pa

LBN: Villages Internal Medicine And Senior Clinic Pa
Villages Internal Medicine And Senior Clinic Pa is an health care organization with primary practice located at 3351 Wedgewood Ln , The Villages FL 32162-7181. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Villages Internal Medicine And Senior Clinic Pa can be contacted via phone (352) 259-0634, or through Evalle, Winston via phone (352) 259-0364.

Contact Information

Primary practice address
3351 Wedgewood Ln The Villages FL 32162-7181
Fax: (352) 259-2174
Website:
Authorized official contact:
Name: Evalle, Winston Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME80483 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME80483 Florida

Profile Details

NPI number 1801939277
LBN Legal business name Villages Internal Medicine And Senior Clinic Pa
DBA Doing business as
Authorized official Evalle, Winston Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Nov 29th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801939277 NPPES
Florida Other 58634 BLUE CROSS BLUE SHIELD

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