VERIMED HEALTH GROUP LLC - NPI NUMBER 1881940914

Summary

Provider Name: VERIMED HEALTH GROUP LLC

NPI Number: 1881940914

Clasification: Internal Medicine (207R00000X)

Address:
3000 MEDICAL PARK DR
SUITE 450
TAMPA, FL
ZIP 33613

Phone Number: (813) 972-5420



Detailed Information

VERIMED HEALTH GROUP LLC is an internist in Tampa, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1881940914 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

3000 MEDICAL PARK DR
SUITE 450
TAMPA, FL
ZIP 33613-680
Phone: (813) 972-5420
Fax: (813) 977-2021

The provider's authorized official is Gladymar Vrkic .
The authorized official title is Administrator and has the following contact phone number (813) 972-5420.

The enumeration date for this NPI number is 7/26/2012 and was last updated on 7/26/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine ME101151 FL Yes

NPI Record

No. Field Name Field Value
1 NPI 1881940914
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name VERIMED HEALTH GROUP LLC
5 Provider First Line Business Practice Location Address 3000 MEDICAL PARK DR
6 Provider Second Line Business Practice Location Address SUITE 450
7 Provider Business Practice Location Address City Name TAMPA
8 Provider Business Practice Location Address State Name FL
9 Provider Business Practice Location Address Postal Code 336134680
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 8139725420
12 Provider Business Practice Location Address Fax Number 8139772021
13 Provider Enumeration Date 7/26/2012
14 Last Update Date 7/26/2012
15 Authorized Official Last Name VRKIC
16 Authorized Official First Name GLADYMAR
17 Authorized Official Title or Position ADMINISTRATOR
18 Authorized Official Telephone Number 8139725420
19 Healthcare Provider Taxonomy Code 1 207R00000X
20 Provider License Number 1 ME101151
21 Provider License Number State Code 1 FL
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N
24 Authorized Official Name Prefix Text MRS.
25 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.