# VK MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Back & Neck Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023529096
- **Authorized official:** VIRESH SUBHASH PATEL (CEO)
- **Authorized official phone:** (904) 269-2437

## Contact information

- **Practice address:** 1218 PARK AVE, ORANGE PARK, FL 32073-4152
- **Practice address phone:** (904) 269-2437
- **Mailing address:** 1218 PARK AVE, ORANGE PARK, FL 32073-4152
- **Mailing address phone:** (904) 269-2437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2017
- **Last updated:** 10/18/2017