Village Vein Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME55201 Issued in FL

Legal business name

VILLAGE VEIN CLINIC INC

Practice address

314 La Grande Blvd
Suite B
Lady Lake, FL 32159

Phone

(352) 350-2640

Fax

(352) 350-2641

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jenny Kazue Yoshida, MDNPI 1134199888

Title

President

Phone

(352) 350-2640

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny K Yoshida, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1134199888
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1124050737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 BELLA CRUZ DRIVE",
            "address_2": "SUITE 332",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-350-2640",
            "fax_number": "352-350-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 LA GRANDE BLVD",
            "address_2": "SUITE B",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-350-2640",
            "fax_number": "352-350-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE VEIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "YOSHIDA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "KAZUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-350-2640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Vann, DNP, APRN, FNP-BC
• Derry Vansicklen, HAS
• Varendra Jamwant DPM
• Marivic Delos Reyes Villa, M.D.
• Village Medical Injury Care LLC
• Village Veranda at Lady Lake, LLC
• Village Wellness LLC
• Villages Facility Inc
• Villages Mind and Body Institute
• Villages RX Pharmacy LLC

• Internal Medicine Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.