# 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 - Riverview
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578203816
- **Legal business name:** VMD PRIMARY PROVIDERS CENTRAL FLORIDA PLLC
- **Authorized official:** REBECCA RAGER (DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (844) 969-0686

## Contact information

- **Practice address:** 11010 BLOOMINGDALE AVE, RIVERVIEW, FL 33578-3617
- **Practice address phone:** (407) 798-8800
- **Mailing address:** 4650 WESTWAY PARK BLVD STE 206, HOUSTON, TX 77041-2006

## 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:** 04/01/2022
- **Last updated:** 01/14/2025