| Mdvip Medical Group Ct LLC | |
|
4950 Communication Ave Suite 100 Boca Raton FL 33431-3307 | |
| (561) 982-4300 | |
| (561) 953-6617 |
| Full Name | Mdvip Medical Group Ct LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4950 Communication Ave, Boca Raton, Florida |
| Authorized Official Name and Position | Andrea Klemes (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5619824300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdvip Medical Group Ct LLC 4950 Communication Ave Suite 100 Boca Raton FL 33431-3307 Ph: (561) 982-4300 | Mdvip Medical Group Ct LLC 4950 Communication Ave Suite 100 Boca Raton FL 33431-3307 Ph: (561) 982-4300 |
| NPI Number | 1174978308 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174978308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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