Village Medical Injury Care LLC

NPI #1316417462 in Lady Lake, Florida

Provider Information

NPI Number: 1316417462
Entity Type: Organization
Organization Name: Village Medical Injury Care LLC
Primary Specialty: Surgery
Enumeration Date: Dec 3, 2018
Last Updated: Dec 3, 2018

Practice Location

Address: 510 CR 466
Address 2: UNIT 104B
City: Lady Lake
State: Florida
ZIP Code: 32159
Phone: (407) 578-9142

Authorized Official

Name: OWEN FRASER, MD
Title: PRESIDENT
Phone: (407) 578-9142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Surgery	208600000X	Primary

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