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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

NPI Number 1124050737
LBN Legal business name VILLAGE VEIN CLINIC INC
Authorized official JENNY YOSHIDA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2006
Last updated 09/13/2007 - About 19 years ago
Identifiers
FL License # ME55201
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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