MEDICARE: HEALTHFIRST MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1215702535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHFIRST MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	4150 N 108TH AVE STE 142
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-5467
Country	:	US
Telephone Number	:	623-242-9259
Fax Number	:	623-466-9552

Provider Business Practice Location Address
First Line	:	4150 N 108TH AVE STE 142
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-5467
Country	:	US
Telephone Number	:	623-242-9259
Fax Number	:	623-466-9552

Authorized Official
Title or Position	:	COO
Name	:	GLADYMAR VRKIC
Credential	:
Telephone Number	:	813-610-9031

Provider Enumeration Date	:	11/16/2023
Last Update Date	:	08/20/2024

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