Provider Demographics
NPI:1386511830
Name:VILL-A-ZUL PEDIATRICS AND FAMILY LLC
Entity type:Organization
Organization Name:VILL-A-ZUL PEDIATRICS AND FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:941-536-8251
Mailing Address - Street 1:4301 32ND ST W STE A7
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-2746
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4301 32ND ST W STE A7
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-2746
Practice Address - Country:US
Practice Address - Phone:941-536-8251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center