Village Vein Clinic Inc

NPI 1124050737 - Internal Medicine - 207R00000X

NPI Details
NPI 1124050737
Enumeration Date 07/06/2006
Last Updated 09/13/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JENNY KAZUE JENNY
Position PRESIDENT
Phone (352) 350-2640
Fax (352) 350-2641
Practice Location
314 LA GRANDE BLVD
SUITE B
LADY LAKE FL, 32159, US
Phone (352) 350-2640
Fax (352) 350-2641
Business Location
1576 BELLA CRUZ DRIVE
SUITE 332
LADY LAKE FL, 32159, US
Phone (352) 350-2640
Fax (352) 350-2641
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME55201
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According to our database, Village Vein Clinic Inc NPI is 1124050737, taxonomy code is 207R00000X and license number is ME55201, license state is located at Florida. Village Vein Clinic Inc physically located at 314 La Grande Blvd, Lady Lake FL, 32159. NPI Number 1033115704 has the healthcare provider type.

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1124050737 NPI number is provided on an as is basis without warranty of any kind. 1124050737 is maintained by the National Plan & Provider Enumeration System. The contents of Village Vein Clinic Inc are for informational purposes only.