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GERIMED 2000 LLC NPI 1265603591


NPI Information

NPI: 1265603591
Provider Name: GERIMED 2000 LLC

Doing Business As: VILLAGE FAMILY CLINIC

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5330 EHRLICH ROAD
SUITE 138
TAMPA, FL
ZIP 33624
Phone: (803) 908-5000
Get Directions

GERIMED 2000 LLC is a geriatric medicine family medicine in Tampa, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. GERIMED 2000 LLC NPI is 1265603591. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Village Family Clinic.

The provider's business location address is:

5330 EHRLICH ROAD
SUITE 138
TAMPA, FL
ZIP 33624-975
Phone: (803) 908-5000
Fax: (813) 908-5030

The provider's authorized official is Oscar Perez .
The authorized official title is Owner/medical Director and has the following contact phone number (813) 918-5000.

The enumeration date for this NPI number is 3/14/2008 and was last updated on 4/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineME0061377FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11124022546OTHEROSCAR NPI
2265467900MEDICAIDFLORIDA
3ME0061377OTHERFLORIDAOSCAR M.D. LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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