Organization Active NPI

Virtual Physician Services Corp

  • Internal Medicine Physician
  • Brooksville, FL
National Provider Identifier
1205437159
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIRTUAL PHYSICIAN SERVICES CORP
Practice address
11373 Cortez Blvd Ste 401
Brooksville, FL 34613-5406
Phone
(989) 671-7119
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Waqar Mian
Title
Owner
Phone
(989) 671-7119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11373 Cortez Blvd Ste 401
Brooksville, FL 34613-5406

Mailing address

11373 Cortez Blvd Ste 401
Brooksville, FL 34613-5406
Phone (989) 671-7119

National Provider Directory

National Provider Directory

Locations

11373 Cortez Blvd
Ste 401
Brooksville, FL 34613
Phone (352) 596-8995

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1205437159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 401",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135406",
            "telephone_number": "989-671-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 401",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135406",
            "telephone_number": "989-671-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL PHYSICIAN SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "WAQAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-671-7119"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.