Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Village Physician LLC

Organization Internal Medicine Physician · NPI 1972856516

The Village Physician LLC is an Internal Medicine Physician in Summerfield, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10435 SE 170th Pl
Summerfield, FL 34491-8998
Phone: (352) 347-7332
Fax: (347) 352-4478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0075362 (FL)

Record details

NPI number1972856516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anis Shahmiri — Owner · (352) 206-5688
NPI enumeratedOctober 19, 2012
Last updated in NPPESMarch 28, 2013
Mailing addressPo Box 7, Belleview, FL 34421-0007

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