Provider Demographics
NPI:1376254870
Name:VIRTUAL LOGIX LLC
Entity type:Organization
Organization Name:VIRTUAL LOGIX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:SUCHMA
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-742-8988
Mailing Address - Street 1:360 GOLF BROOK CIR APT 210
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-6135
Mailing Address - Country:US
Mailing Address - Phone:609-742-8988
Mailing Address - Fax:609-939-0539
Practice Address - Street 1:360 GOLF BROOK CIR APT 210
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6135
Practice Address - Country:US
Practice Address - Phone:609-742-8988
Practice Address - Fax:609-939-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty