Heron Springs Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HERON SPRINGS FAMILY MEDICINE INC

Practice address

8425 Balm St
Weeki Wachee, FL 34607-4419

Phone

(352) 596-1770

Fax

(352) 596-1553

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Vincent Todd Buckman, MDNPI 1346248762

Title

Owner Partner

Phone

(352) 596-1770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Todd Buckman, M.D.

  • Family Medicine Physician
  • Port Charlotte, FL
  • NPI 1346248762
  NPD Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1124051115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 BALM ST",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346074419",
            "telephone_number": "352-596-1770",
            "fax_number": "352-596-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 BALM ST",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346074419",
            "telephone_number": "352-596-1770",
            "fax_number": "352-596-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERON SPRINGS FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BUCKMAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "352-596-1770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.