| Village Medical - West Lealman | |
|
5405 66th St N St Petersburg FL 33709-1510 | |
| (407) 798-8800 | |
| Not Available |
| Full Name | Village Medical - West Lealman |
|---|---|
| Speciality | Family Medicine |
| Location | 5405 66th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Kristi I Lee (DIR REV CYCLE) |
| Authorized Official Contact | 7134612915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Medical - West Lealman 125 S Clark St Ste 900 Chicago IL 60603-4043 Ph: (270) 759-9200 | Village Medical - West Lealman 5405 66th St N St Petersburg FL 33709-1510 Ph: (407) 798-8800 |
| NPI Number | 1477293801 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477293801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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