NPIMap

Organization Active NPI

Envizion Medical Inc

  • Non-Pharmacy Dispensing Site
  • Land O Lakes, FL
National Provider Identifier
1508223140
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME67888 Issued in FL
Legal business name
ENVIZION MEDICAL INC
Practice address
2711 Letap CT
Suite 101
Land O Lakes, FL 34638-7229
Phone
(813) 279-2211
Fax
(813) 948-3999
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Kathleen Vaes
Title
Owner
Phone
(813) 205-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME67888 FL Primary

Addresses

Primary practice location

2711 Letap CT
Suite 101
Land O Lakes, FL 34638-7229

Mailing address

PO Box 9830
Salt Lake City, UT 84109-9830
Phone (727) 755-0693

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.envizionmedical.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1508223140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "727-755-0693",
            "fax_number": "727-755-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 LETAP CT",
            "address_2": "SUITE 101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387229",
            "telephone_number": "813-279-2211",
            "fax_number": "813-948-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIZION MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "VAES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-205-4550"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME67888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.envizionmedical.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2711 Letap Ct",
            "address_2": "Suite 101",
            "city": "Land O Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346387229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.