Active NPI
Village Family Practice
- Family Medicine Physician
- Largo, FL
National Provider Identifier
1588998488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0S0006179
- Legal business name
- VILLAGE FAMILY PRACTICE
- Doing business as
- Village Family Practice
- Practice address
- 8250 Bryan Dairy Rd Ste 300
Largo, FL 33777-1356 - Phone
- (727) 544-7908
- Fax
- (727) 541-6165
- NPI assigned
- Sep 24, 2009
- Last updated
- Aug 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Charlotte Dragoo
- Title
- Office Manager
- Phone
- (727) 544-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0S0006179 | FL | Primary |
Addresses
Primary practice location
8250 Bryan Dairy Rd Ste 300
Largo, FL 33777-1356
Mailing address
8250 Bryan Dairy Rd Ste 300
Largo, FL 33777-1356
Phone (727) 544-2500
Other names 1
- Village Family Practice
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598400000000",
"number": "1588998488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 BRYAN DAIRY RD STE 300",
"city": "LARGO",
"state": "FL",
"postal_code": "337771356",
"telephone_number": "727-544-2500",
"fax_number": "727-541-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 BRYAN DAIRY RD STE 300",
"city": "LARGO",
"state": "FL",
"postal_code": "337771356",
"telephone_number": "727-544-7908",
"fax_number": "727-541-6165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-24",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A",
"authorized_official_last_name": "DRAGOO",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "727-544-2500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "0S0006179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Village Family Practice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Village Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.