Provider Demographics
NPI:1073659181
Name:HEALTHFLO MEDICAL CLINICS INC
Entity Type:Organization
Organization Name:HEALTHFLO MEDICAL CLINICS INC
Other - Org Name:THE VILLAGES MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-350-2136
Mailing Address - Street 1:1501 N US HIGHWAY 441
Mailing Address - Street 2:SUITE 1404
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8999
Mailing Address - Country:US
Mailing Address - Phone:352-350-2136
Mailing Address - Fax:352-350-2137
Practice Address - Street 1:1501 N US HIGHWAY 441
Practice Address - Street 2:SUITE 1404
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8999
Practice Address - Country:US
Practice Address - Phone:352-350-2136
Practice Address - Fax:352-350-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0317BMedicare PIN
FLK0317BMedicare UPIN