Healthcare Provider Details

I. General information

NPI: 1215861604
Provider Name (Legal Business Name): VIRTUAL CARE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4208 TROON PL
FORT PIERCE FL
34947-1352
US

IV. Provider business mailing address

111 MOUNTAIN CT
HUNTSVILLE TX
77340-1311
US

V. Phone/Fax

Practice location:
  • Phone: 561-462-0587
  • Fax: 409-419-3011
Mailing address:
  • Phone: 561-462-0587
  • Fax: 409-419-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: CHERYL MORGAN
Title or Position: OWNER
Credential: DNP
Phone: 956-789-2985