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VILLAGE DOCTORS PA
NPI 1942344296
Clinic/Center in Keystone Heights, FL

Active since February 19, 2007CLIA Certified · 2 labs
100 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656(352) 473-9373(352) 473-0037 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Village Doctors Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLAGE DOCTORS PA (NPI 1942344296) is a healthcare organization registered as a clinic/center in Keystone Heights, Florida and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Walter David Sikes, Owner, as its authorized official.

NPPES Registry Identity

NPI1942344296
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVILLAGE DOCTORS PA
Location Address100 S LAWRENCE BLVDKeystone Heights, FL 32656-9215
Mailing Address100 S Lawrence BlvdKeystone Heights, FL 32656-9215 · (352) 473-9373 · Fax (352) 473-0037
Phone(352) 473-9373
Fax(352) 473-0037
Organization SubpartNo
Authorized OfficialWalter David SikesOwner · (904) 964-5455
Enumeration DateFebruary 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942344296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
100 S LAWRENCE BLVD, Keystone Heights, FL 32656
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1004290

Village Doctors Of Keystone · Keystone Heights, FL
Active · expires Sep 23, 2026
CLIA Number10D1004290
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorGloria Niquette
Laboratory Phone(352) 473-9373
Laboratory LocationVillage Doctors Of Keystone100 S Lawrence Blvd, Keystone Heights, FL 32656
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2026125

Village Doctors Family Medical Center Of Keystone Hgts · Keystone Heights, FL
Active · expires Jun 22, 2027
CLIA Number10D2026125
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorGloria Niquette
Laboratory Phone(352) 473-3199
Laboratory LocationVillage Doctors Family Medical Center Of Keystone Hgts175 N Lawrence Blvd, Keystone Heights, FL 32656
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STARKE FAMILY MEDICAL CENTER INC
General Practice
100 S LAWRENCE BLVD
KEYSTONE HEIGHTS, FL 32656
Clay County (352) 473-9373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Village Doctors PA's NPI number?

The NPI number for Village Doctors PA is 1942344296. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is Village Doctors PA located?

Village Doctors PA is located at 100 S Lawrence Blvd, Keystone Heights, FL 32656. The listed phone number is (352) 473-9373.

What is Village Doctors PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Village Doctors PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Village Doctors PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.