Active NPI
Vallacare Health Services Inc
- Family Medicine Physician
- Punta Gorda, FL
National Provider Identifier
1821085523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VALLACARE HEALTH SERVICES INC
- Practice address
- 517 Tamiami TRL
Suite a
Punta Gorda, FL 33950-5520 - Phone
- (941) 575-1333
- Fax
- (941) 575-7755
- NPI assigned
- Sep 29, 2005
- Last updated
- Sep 8, 2011
- 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
- Blanca Valladares
- Title
- Ceo
- Phone
- (941) 575-1333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
517 Tamiami TRL
Suite a
Punta Gorda, FL 33950-5520
Mailing address
517 Tamiami TRL
Suite a
Punta Gorda, FL 33950-5520
Phone (941) 575-1333
National Provider Directory
National Provider DirectoryLocations
517 Tamiami Trl
Ste A
Punta Gorda, FL 33950
Phone (941) 575-1333
Practitioners & affiliated clinicians
Practitioners 1
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
- Jacksonville, FL
- NPI 1710973268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1821085523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 TAMIAMI TRL",
"address_2": "SUITE A",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339505520",
"telephone_number": "941-575-1333",
"fax_number": "941-575-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 TAMIAMI TRL",
"address_2": "SUITE A",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339505520",
"telephone_number": "941-575-1333",
"fax_number": "941-575-7755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLACARE HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-29",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "VALLADARES",
"authorized_official_first_name": "BLANCA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "941-575-1333"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.