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Contact Information

VILLAGE VEIN CLINIC INC
314 LA GRANDE BLVD
SUITE B
LADY LAKE, FL32159
 Phone: 352-350-2640
 Fax: 352-350-2641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VILLAGE VEIN CLINIC INC · (Female)

NPI # 1124050737
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 09/13/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME55201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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