Visionary Virtual Healthcare, LLC

Primary specialty

TechnicianTaxonomy code 374700000X

Legal business name

VISIONARY VIRTUAL HEALTHCARE, LLC

Practice address

1743 Bayou Grande Blvd NE
Saint Petersburg, FL 33703-1907

Phone

(732) 500-1246

NPI assigned

Jul 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Iannelli

Title

Ceo

Phone

(732) 500-1246

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1336766609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 BAYOU GRANDE BLVD NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337031907",
            "telephone_number": "732-500-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 BAYOU GRANDE BLVD NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337031907",
            "telephone_number": "732-500-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY VIRTUAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "IANNELLI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-500-1246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://visionaryvirtualhealthcare.com/contact-us/",
            "affiliation": "N",
            "endpointDescription": "CONTACT FORM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FORM URL",
            "address_1": "1743 Bayou Grande Blvd NE",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337031907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Technician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.