Provider Demographics
NPI:1215702535
Name:HEALTHFIRST MEDICAL GROUP PC
Entity type:Organization
Organization Name:HEALTHFIRST MEDICAL GROUP PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:GLADYMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VRKIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-610-9031
Mailing Address - Street 1:4150 N 108TH AVE STE 142
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5467
Mailing Address - Country:US
Mailing Address - Phone:623-242-9259
Mailing Address - Fax:623-466-9552
Practice Address - Street 1:4150 N 108TH AVE STE 142
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5467
Practice Address - Country:US
Practice Address - Phone:623-242-9259
Practice Address - Fax:623-466-9552
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHFIRST MEDICAL GROUP PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-16
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty