The Village Physician LLC
NPI #1972856516 in Summerfield, Florida
Provider Information
- NPI Number
- 1972856516
- Entity Type
- Organization
- Organization Name
- The Village Physician LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 19, 2012
- Last Updated
- Mar 28, 2013
Practice Location
- Address
- 10435 SE 170TH PL
- City
- Summerfield
- State
- Florida
- ZIP Code
- 34491-8998
- Phone
- (352) 347-7332
Authorized Official
- Name
- DR. ANIS A SHAHMIRI, MD
- Title
- OWNER
- Phone
- (352) 206-5688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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