NPIMap

Organization Active NPI

Vqol Primary Care Physician

  • Primary Care Clinic/Center
  • Lady Lake, FL
National Provider Identifier
1083045918
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME106117 Issued in FL
Legal business name
VQOL PRIMARY CARE PHYSICIAN
Practice address
8550 NE 138TH LN Ste 102
Lady Lake, FL 32159-6816
Phone
(352) 314-2922
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Claude Danois, MD
Title
President
Phone
(352) 314-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME106117 FL Primary

Addresses

Primary practice location

8550 NE 138TH LN Ste 102
Lady Lake, FL 32159-6816

Mailing address

PO Box 490625
Leesburg, FL 34749-0625
Phone (352) 314-2922

Other practice location 1

1014 E North Blvd
Leesburg, FL 34748-5348
Phone (352) 314-2922

National Provider Directory

National Provider Directory

Locations

8550 NE 138th Ln
Ste 102
Lady Lake, FL 32159
Phone (352) 314-2922

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1083045918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490625",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347490625",
            "telephone_number": "352-314-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 NE 138TH LN STE 102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596816",
            "telephone_number": "352-314-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 E North Blvd",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485348",
            "country_code": "US",
            "telephone_number": "352-314-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VQOL PRIMARY CARE PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "DANOIS",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-314-2922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME106117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.