Active NPI
Vip Family Practice LLC
- Family Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ACN235
- Legal business name
- VIP FAMILY PRACTICE LLC
- Practice address
- 401 W Oak St
Kissimmee, FL 34741-4931 - Phone
- (407) 730-9911
- Fax
- (407) 730-3545
- NPI assigned
- Oct 17, 2012
- Last updated
- Feb 11, 2023
- 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
- Frank John Yanez, MD
- Title
- Medical Director/Owner
- Phone
- (407) 674-2044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ACN235 | FL | Primary |
Addresses
Primary practice location
401 W Oak St
Kissimmee, FL 34741-4931
Mailing address
401 W Oak St
Kissimmee, FL 34741-4931
Phone (407) 674-2044
Other practice location 1
1192 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 674-2044
Other practice location 2
405 W Oak St
Kissimmee, FL 34741-4931
Phone (407) 674-2044
Other practice location 3
483 N Semoran Blvd Ste 210
Winter Park, FL 32792-3800
Phone (407) 674-2044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2051061 | Vip Family Practice | Certificate of waiver | Dec 11, 2026 |
| 10D2255698 | Vip Family Practice | Certificate of waiver | Mar 15, 2028 |
| 10D2264613 | Vip Family Practice | Certificate of waiver | Jul 17, 2026 |
| 10D2264619 | Vip Family Practice | Certificate of waiver | Jul 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
401 W Oak St
#403
Kissimmee, FL 34741
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AEBFCA
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Kissimmee, FL
- NPI 1578780524
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1083404602
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1134747470
-
- General Practice Physician
- Kissimmee, FL
- NPI 1215314737
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1740152099
-
- Family Nurse Practitioner
- Davenport, FL
- NPI 1154923290
-
- Nurse Practitioner
- Kissimmee, FL
- NPI 1174337802
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1477142719
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1801516844
-
- Nurse Practitioner
- Lauderdale Lakes, FL
- NPI 1851026082
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1255973434
-
- Family Nurse Practitioner
- Winter Park, FL
- NPI 1821466616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676073600000",
"number": "1669725552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414931",
"telephone_number": "407-674-2044",
"fax_number": "407-674-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414931",
"telephone_number": "407-730-9911",
"fax_number": "407-730-3545"
}
],
"practiceLocations": [
{
"address_1": "1192 Cypress Glen Cir",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347417560",
"country_code": "US",
"telephone_number": "407-674-2044",
"fax_number": "407-674-2049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Oak St",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414931",
"country_code": "US",
"telephone_number": "407-674-2044",
"fax_number": "407-674-2049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "483 N Semoran Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327923800",
"country_code": "US",
"telephone_number": "407-674-2044",
"fax_number": "407-674-2049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VIP FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2023-02-11",
"certification_date": "2023-02-11",
"status": "A",
"authorized_official_last_name": "YANEZ",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "407-674-2044",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ACN235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.