MEDICARE: VMC HEALTH LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1770250060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VMC HEALTH LLC

Provider Business Mailing Address
First Line	:	3727 MILANO LAKES CIR
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34114-2825
Country	:	US
Telephone Number	:	239-580-7614
Fax Number	:

Provider Business Practice Location Address
First Line	:	3727 MILANO LAKES CIR
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34114-2825
Country	:	US
Telephone Number	:	239-580-7614
Fax Number	:

Authorized Official
Title or Position	:	PD
Name	:	CLAUDIA J ORDUZ
Credential	:
Telephone Number	:	239-580-7614

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	08/25/2021

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Directions to “VMC HEALTH LLC ” Practice Location

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