Healthcare Provider Details

I. General information

NPI: 1841102423
Provider Name (Legal Business Name): MED LINK VIRTUAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 PARKWAY CT
GREENACRES FL
33413-3073
US

IV. Provider business mailing address

1021 PARKWAY CT
GREENACRES FL
33413-3073
US

V. Phone/Fax

Practice location:
  • Phone: 561-727-7989
  • Fax:
Mailing address:
  • Phone: 561-727-7989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: YGHORE SAINT GEORGES
Title or Position: MANAGER
Credential:
Phone: 561-727-7989