Organization Active NPI

Vizavee Urgent & Primary Care, LLC

  • Family Medicine Physician
  • Wildwood, FL
National Provider Identifier
1821665886
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VIZAVEE URGENT & PRIMARY CARE, LLC
Practice address
4669 E Sr 44 Ste 101
Wildwood, FL 34785-7460
Phone
(352) 399-7301
Fax
(352) 792-1051
NPI assigned
Jun 8, 2021
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janae Santos
Title
Owner/Manager
Phone
(321) 438-0193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

4669 E Sr 44 Ste 101
Wildwood, FL 34785-7460

Mailing address

4669 E Sr 44 Ste 101
Wildwood, FL 34785-7460
Phone (352) 399-7301

Other practice location 1

340 Heald Way Ste 208
The Villages, FL 32163-6000
Phone (352) 399-7301

Other practice location 2

3602 Wedgewood Ln
The Villages, FL 32162-9318
Phone (352) 399-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210727000366 FL Part B Supplier - Clinic/Group Practice 1557764784 Receives reassigned benefits from 27 practitioners
Practice locations: The Villages, FL; Wildwood, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2233227Vizavee Urgent & Primary Care LLC4669 E Sr 44 Suite 101, Wildwood, FL 34785Certificate of waiverAug 19, 2027
10D2236242Vizavee Urgent & Primary Care LLC340 Heald Way Suite 208, The Villages, FL 32163Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

340 Heald Way
Ste 208
The Villages, FL 32163
Phone (352) 259-5762

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1821665886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 E SR 44 STE 101",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857460",
            "telephone_number": "352-399-7301",
            "fax_number": "352-792-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 E SR 44 STE 101",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857460",
            "telephone_number": "352-399-7301",
            "fax_number": "352-792-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Heald Way Ste 208",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321636000",
            "country_code": "US",
            "telephone_number": "352-399-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3602 Wedgewood Ln",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321629318",
            "country_code": "US",
            "telephone_number": "352-399-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIZAVEE URGENT & PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JANAE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "321-438-0193"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.

Verify at the official NPI Registry.