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Organization
VIP FAMILY PRACTICE LLC
Active
Organization
VIP FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK JOHN YANEZ MD (MEDICAL DIRECTOR/OWNER)
(407) 674-2044
Entity
Organization
Contact information
Practice address
401 W OAK ST, KISSIMMEE, FL 34741-4931
(407) 730-9911
(407) 730-3545
Mailing address
401 W OAK ST, KISSIMMEE, FL 34741-4931
(407) 674-2044
(407) 674-2049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ACN235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000864700
—
FL
Enumeration date
10/17/2012
Last updated
02/11/2023
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