Organization Active NPI

Village Family Practice

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1588998488
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S0006179 Issued in FL
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.