Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VILLAGES INTERNAL MEDICINE AND SENIOR CLINIC PA
Active
Organization
VILLAGES INTERNAL MEDICINE AND SENIOR CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINSTON EVALLE M.D. (PRESIDENT)
(352) 259-0364
Entity
Organization
Contact information
Practice address
3351 WEDGEWOOD LN, THE VILLAGES, FL 32162-7181
(352) 259-0634
(352) 259-2174
Mailing address
3351 WEDGEWOOD LN, THE VILLAGES, FL 32162-7181
(352) 259-0634
(352) 259-2174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80483
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME80483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58634
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/15/2007
Last updated
11/29/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up