Organization
VIRTUCARE CONNECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CORNISH (ADMIN)
(419) 779-7692
Entity
Organization
Contact information
Practice address
4934 VICEROY ST UNIT 101, CAPE CORAL, FL 33904-9052
(419) 779-7692
Mailing address
4934 VICEROY ST UNIT 101, CAPE CORAL, FL 33904-9052
(419) 779-7692
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/01/2024
Last updated
02/02/2024
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