OrganizationActive
Vmd Primary Providers Central Florida PLLC
NPI 1053077560 · Family Medicine Physician · Pinellas Park, FL
Provider details
- NPI number
- 1053077560
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vmd Primary Providers Central Florida PLLC
- Organization subpart
- Yes
- Authorized official
- Rebecca Rager, Director Revenue Cycle(844) 969-0686
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6994 US Highway 19 N
Pinellas Park, FL 33781
Phone: (407) 798-8800
Street-level locationGet directions
Mailing address
4650 Westway Park Blvd Ste 206
Houston, TX 77041-2006
Other names (DBA / former)
- Other name
- Village Medical - Pinellas Park Southeast
- Other name
- Village Medical - Pinellas Park Southeast
Registry dates
- Enumerated
- 2021-11-10
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.