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Organization
VB MED LLC
Active
Organization
VB MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ALICE BOISSELLE PA (PRESIDENT)
(813) 575-0363
Entity
Organization
Contact information
Practice address
12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578-4069
(813) 575-0363
(813) 669-5614
Mailing address
12230 LEGACY BRIGHT ST, RIVERVIEW, FL 33578-4069
(813) 575-0363
(813) 669-5614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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