Provider Demographics
NPI:1881609311
Name:THE VILLAGES INTERNAL MEDICINE AND GERIATRICS
Entity type:Organization
Organization Name:THE VILLAGES INTERNAL MEDICINE AND GERIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:ZHAN
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-259-0238
Mailing Address - Street 1:PO BOX 950627
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-0627
Mailing Address - Country:US
Mailing Address - Phone:352-259-0238
Mailing Address - Fax:352-750-0831
Practice Address - Street 1:13953 NE 86TH TERRACE
Practice Address - Street 2:SUITE 100
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159
Practice Address - Country:US
Practice Address - Phone:352-259-0238
Practice Address - Fax:352-750-0831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7055Medicare ID - Type UnspecifiedGROUP #