OrganizationActive
The Village Physician LLC
NPI 1972856516 · Internal Medicine Physician · Summerfield, FL
Provider details
- NPI number
- 1972856516
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anis Shahmiri, Owner(352) 206-5688
- License
- ME0075362 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
10435 Se 170th Pl
Summerfield, FL 34491-8998
Phone: (352) 347-7332
Fax: (347) 352-4478
Street-level locationGet directions
Mailing address
Po Box 7
Belleview, FL 34421-0007
Registry dates
- Enumerated
- 2012-10-19
- Last updated
- 2013-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.