Provider Demographics
NPI:1063275410
Name:VHG TELEMED HOME VISIT LLC
Entity type:Organization
Organization Name:VHG TELEMED HOME VISIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-808-5591
Mailing Address - Street 1:6550 MAIN ST UNIT 1571
Mailing Address - Street 2:
Mailing Address - City:NEW PRT RCHY
Mailing Address - State:FL
Mailing Address - Zip Code:34656-9763
Mailing Address - Country:US
Mailing Address - Phone:727-808-4800
Mailing Address - Fax:
Practice Address - Street 1:6550 MAIN ST UNIT 1571
Practice Address - Street 2:
Practice Address - City:NEW PRT RCHY
Practice Address - State:FL
Practice Address - Zip Code:34656-9763
Practice Address - Country:US
Practice Address - Phone:727-808-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty