Verimed Health Group Seminole, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS13602 Issued in FL

Legal business name

VERIMED HEALTH GROUP SEMINOLE, LLC

Practice address

9555 Seminole Blvd
Suite 205
Seminole, FL 33772-2562

Phone

(727) 319-8900

Fax

(727) 319-8700

NPI assigned

Mar 7, 2011

Organization subpart

No

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

Authorized official

Name

Andrea Maria Lane

Title

Assistant Administrator

Phone

(727) 577-0285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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

• Shari Alissa Berg, DO

  • Family Medicine Physician
  • Largo, FL
  • NPI 1538166269
  Medicare reassignment NPD
• Brian Patrick Kidd, MSN

  • Gerontology Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1841371051
  Medicare reassignment NPD
• Bhiru Patel-Elio, M.D.

  • Family Medicine Physician
  • Largo, FL
  • NPI 1245530443
  Medicare reassignment NPD

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1295033785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD",
            "address_2": "SUITE 205",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722562",
            "telephone_number": "727-319-8900",
            "fax_number": "727-319-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD",
            "address_2": "SUITE 205",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722562",
            "telephone_number": "727-319-8900",
            "fax_number": "727-319-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIMED HEALTH GROUP SEMINOLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "727-577-0285"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS13602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys T Valle, APRN
• Valor Health
• Paula Marcela Vargas, DO
• Jessica Vaught, APRN
• Monica Sabrina Vera-Jackson, DC
• Diego Andres Villalba, PHARM.D.
• Vision Specialty Associates, P.a.
• Visionworks Inc
• Visionworks, Inc.
• VMD Primary Providers Central Florida PLLC

• Internal Medicine Physician in Seminole, FL
• Providers in Seminole, 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 Apr 30, 2018; 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.