VILLAGE GROUP MANAGEMENT CORP. NPI 1376790121

NPI Information

NPI: 1376790121
Provider Name: VILLAGE GROUP MANAGEMENT CORP.

Doing Business As: CENTURY VILLAGE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
13550 SW 10TH STREET
STE B
PEMBROKE PINES, FL
ZIP 33027
Phone: (954) 433-9501
Get Directions

VILLAGE GROUP MANAGEMENT CORP. is a family medicine in Pembroke Pines, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VILLAGE GROUP MANAGEMENT CORP. NPI is 1376790121. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Century Village Medical Center.

The provider's business location address is:

13550 SW 10TH STREET
STE B
PEMBROKE PINES, FL
ZIP 33027
Phone: (954) 433-9501
Fax: (954) 433-8035

The provider's authorized official is Gene Godoy .
The authorized official title is Medical Doctor Medical Director and has the following contact phone number (954) 433-9501.

The enumeration date for this NPI number is 8/24/2008 and was last updated on 10/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		ME0065758	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F94588	MEDICARE UPIN	FLORIDA
2	110819	OTHER	FLORIDA	HUMANA HEALTHPLAN
3	K2474	OTHER	FLORIDA	VISTA HEALTHPLAN
4	263902	MEDICARE OSCAR/CERTIFICATION	FLORIDA
5	376822800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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