Organization Active NPI

Vallacare Health Services Inc

  • Family Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1821085523
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.