Provider Demographics
NPI:1750547261
Name:THE VILLAGES MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:THE VILLAGES MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NARMATA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-251-1366
Mailing Address - Street 1:1400 US HWY 441
Mailing Address - Street 2:BLDG 500 STE 522
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8983
Mailing Address - Country:US
Mailing Address - Phone:352-350-2136
Mailing Address - Fax:352-350-2137
Practice Address - Street 1:1400 N US HIGHWAY 441
Practice Address - Street 2:BLDG 500 STE 522
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8975
Practice Address - Country:US
Practice Address - Phone:352-350-2136
Practice Address - Fax:352-350-2137
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL CARE CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-04
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67237174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty