| Village Family Clinic | |
|
5330 Ehrlich Road Suite 138 Tampa FL 33624-6975 | |
| (803) 908-5000 | |
| (813) 908-5030 |
| Full Name | Village Family Clinic |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 5330 Ehrlich Road, Tampa, Florida |
| Authorized Official Name and Position | Oscar Perez (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 8139185000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Family Clinic 5330 Ehrlich Road Suite 138 Tampa FL 33624-6975 Ph: (803) 908-5000 | Village Family Clinic 5330 Ehrlich Road Suite 138 Tampa FL 33624-6975 Ph: (803) 908-5000 |
| NPI Number | 1265603591 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 04/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265603591 | NPI | - | NPPES |
| 1124022546 | Other | OSCAR NPI | |
| ME0061377 | Other | FL | OSCAR M.D. LICENSE |
| 265467900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | ME0061377 (Florida) | Primary |
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