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Organization
VILLAGE VEIN CLINIC INC
Active
Organization
VILLAGE VEIN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY KAZUE YOSHIDA MD (PRESIDENT)
(352) 350-2640
Entity
Organization
Contact information
Practice address
314 LA GRANDE BLVD, SUITE B, LADY LAKE, FL 32159
(352) 350-2640
(352) 350-2641
Mailing address
1576 BELLA CRUZ DRIVE, SUITE 332, LADY LAKE, FL 32159
(352) 350-2640
(352) 350-2641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME55201
FL
Other
Enumeration date
07/06/2006
Last updated
09/13/2007
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