VK Medical Group LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VK MEDICAL GROUP LLC

Practice address

1740 Edgewood Ave W Ste 1
Jacksonville, FL 32208-3260

Phone

(904) 269-2437

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Viresh Subhash Patel

Title

Ceo

Phone

(904) 269-2437

Specialties & licenses 1

Addresses

Other names 1

• North Florida Medical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

North Florida Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• VK Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1700650512
  NPD tax ID
• VK Medical Group, LLC

  • Specialist
  • Jacksonville, FL
  • NPI 1922871425
  NPD tax ID

Locations

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1346014164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 CYPRESS GREEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561885",
            "telephone_number": "904-269-2437",
            "fax_number": "904-264-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 EDGEWOOD AVE W STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083260",
            "telephone_number": "904-269-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VK MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRESH",
        "authorized_official_middle_name": "SUBHASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-269-2437"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arianne Lacuesta Vitug, APRN
• Gretter Vizcaino Denis
• Parissa Kimia Vizza, MSN, RN, CPNP-PC
• Angela Nicole Vizzini, RDN
• Vjwdc, Inc
• VK Medical Group LLC
• VK Medical Group, LLC
• Vladimir Havryliuk M D P a
• Meagan Vlasek, NP-C
• VLN Companion Care LLC

• Multi-Specialty Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.