TRICOUNTY PHYSICIANS LLC NPI 1619507431

NPI Information

NPI: 1619507431
Provider Name: TRICOUNTY PHYSICIANS, LLC

Doing Business As: VILLA HEALTH SPECIALTY CLINIC

Classification:
Entity Type: Organization

CLIA Number: 10D2060166

Address:
1507 BUENOS AIRES BLVD STE 102
THE VILLAGES, FL
ZIP 32159
Phone: (352) 561-6299
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TRICOUNTY PHYSICIANS, LLC is a healthcare provider in The Villages, FL. TRICOUNTY PHYSICIANS, LLC NPI is 1619507431. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Villa Health Specialty Clinic.

The provider's business location address is:

1507 BUENOS AIRES BLVD STE 102
THE VILLAGES, FL
ZIP 32159-974
Phone: (352) 561-6299
Fax: (352) 750-8032

The provider's authorized official is Marivic Delos Reyes Villa .
The authorized official title is President and has the following contact phone number (352) 561-6299.

The CLIA number assigned to this NPI record is 10D2060166 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2020 and was last updated on 1/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease			No

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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