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Organization
YOUR VIRTUAL CLINIC PA
Active
Organization
YOUR VIRTUAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN F SMITH MD (MEDICAL DIRECTOR)
(770) 286-9149
Entity
Organization
Contact information
Practice address
601 21ST ST STE 300, VERO BEACH, FL 32960-0860
(888) 210-3339
Mailing address
450 OLD PEACHTREE RD NW STE 101, SUWANEE, GA 30024-7289
(888) 210-3339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
02/01/2021
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