| Village Vein Clinic Inc | |
|
314 La Grande Blvd Suite B Lady Lake FL 32159 | |
| (352) 350-2640 | |
| (352) 350-2641 |
| Full Name | Village Vein Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 314 La Grande Blvd, Lady Lake, Florida |
| Authorized Official Name and Position | Jenny Kazue Yoshida (PRESIDENT) |
| Authorized Official Contact | 3523502640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Vein Clinic Inc 1576 Bella Cruz Drive Suite 332 Lady Lake FL 32159 Ph: (352) 350-2640 | Village Vein Clinic Inc 314 La Grande Blvd Suite B Lady Lake FL 32159 Ph: (352) 350-2640 |
| NPI Number | 1124050737 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124050737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME55201 (Florida) | Primary |
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