MEDICAL VENTURES OF AMERICA NPI 1265631519

NPI Information

NPI: 1265631519
Provider Name: MEDICAL VENTURES OF AMERICA

Doing Business As: LAKE REGIONAL URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2067848

Address:
910 OLD CAMP RD
PROF BLDG 114
THE VILLAGES, FL
ZIP 32162
Phone: (352) 259-4322
Get Directions

MEDICAL VENTURES OF AMERICA is an urgent care clinic center in The Villages, FL. MEDICAL VENTURES OF AMERICA NPI is 1265631519. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Regional Urgent Care.

The provider's business location address is:

910 OLD CAMP RD
PROF BLDG 114
THE VILLAGES, FL
ZIP 32162-604
Phone: (352) 259-4322
Fax: (352) 259-3882

The provider's authorized official is Dawn E Walker .
The authorized official title is Director Of Billing and has the following contact phone number (352) 315-1651.

The CLIA number assigned to this NPI record is 10D2067848 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 7/17/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34537	MEDICARE UPIN	FLORIDA
2	B902B	OTHER	FLORIDA	BLUE CROSS AND BLUE SHIEL

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: 5/5/2024

NPI Synchronization or Removal

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