NPIMap

Organization Active NPI

VMD Primary Providers Central Florida PLLC

  • Family Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1134738974
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC
Practice address
4501 13TH St
Saint Cloud, FL 34769-6742
Phone
(407) 798-8800
NPI assigned
Jul 28, 2020
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Rebecca Rager
Title
Director Revenue Cycle
Phone
(844) 969-0686

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

4501 13TH St
Saint Cloud, FL 34769-6742

Mailing address

PO Box 360262
Pittsburgh, PA 15251-6262
Phone (346) 980-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210128001072 FL Part B Supplier - Clinic/Group Practice 2860806197 Receives reassigned benefits from 170 practitioners
Practice locations: Pinellas Park, FL; Ocala, FL; Orlando, FL; Ocoee, FL; Riverview, FL; Saint Cloud, FL; Sanford, FL; Sarasota, FL…

National Provider Directory

National Provider Directory

Locations

1504 53rd Ave E
#102
Bradenton, FL 34203

101 W Ardice Ave
Eustis, FL 32726
Phone (352) 589-5062

8957 Hudson Ave
Hudson, FL 34667

105 Julington Plaza Dr
Ste A
Jacksonville, FL 32259
Phone (904) 582-1193

14405 Beach Blvd
Ste 2
Jacksonville, FL 32250
Phone (904) 977-0065

5340 Soutel Dr
Jacksonville, FL 32219
Phone (904) 764-1773

654 Cassat Ave
Ste 1
Jacksonville, FL 32205

7546 103rd St
#1
Jacksonville, FL 32210

8309 Southside Blvd
Ste 1
Jacksonville, FL 32256
Phone (904) 977-0065

866 Dunn Ave
#1
Jacksonville, FL 32218

408 Old Polk City Rd
Lakeland, FL 33809

800 West Bay Dr
Ste 1
Largo, FL 33770

800 West Bay Dr
Unit 1
Largo, FL 33770

210 Southern Breeze Dr
Minneola, FL 34715

1110 Tamiami Trl N
Nokomis, FL 34275

1264 NW 35th St
Ocala, FL 34475

3533 E Silver Springs Blvd
Ocala, FL 34470

6011 SW Highway 200
Ocala, FL 34476

2353 Ocoee Apopka Rd
Ocoee, FL 34761
Phone (407) 573-0228

3550 Fruitville Rd
Sarasota, FL 34237
Phone (941) 955-4282

10121 Seminole Blvd
#100
Seminole, FL 33772

3390 Central Ave
St Petersburg, FL 33712

1494 US Hwy 41 Byp S
Venice, FL 34285

1494 US Hwy 41 Byp S
Venice, FL 34285

36521 Pure Water Way
Zephyrhills, FL 33541

Ownership & related parties

Subparts reporting this organization as parent 53

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 53

Practitioners & affiliated clinicians

Practitioners 171

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.

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1134738974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360262",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516262",
            "telephone_number": "346-980-2701",
            "fax_number": "713-932-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696742",
            "telephone_number": "407-798-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "RAGER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "844-969-0686"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.