# VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC
- **Other names:** Village Medical - Normandy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174260954
- **Legal business name:** VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC
- **Authorized official:** REBECCA RAGER (DIRECTOR REVENUE CYLE)
- **Authorized official phone:** (844) 969-0686

## Contact information

- **Practice address:** 654 CASSAT AVE STE 1, JACKSONVILLE, FL 32205-4717
- **Practice address phone:** (407) 798-8800
- **Mailing address:** 4650 WESTWAY PARK BLVD, HOUSTON, TX 77041-2007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/13/2022
- **Last updated:** 01/14/2025