| Vip Doctors Care of St Augustine LLC | |
|
655 State Road 207 Suite 102 St Augustine FL 32084-5937 | |
| (561) 843-7720 | |
| Not Available |
| Full Name | Vip Doctors Care of St Augustine LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 655 State Road 207, St Augustine, Florida |
| Authorized Official Name and Position | Joseph Dicapua (MANAGING MEMBER) |
| Authorized Official Contact | 5618437720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Doctors Care of St Augustine LLC 2301 Nw 33rd Ct Suite 111 Pompano Beach FL 33069-1000 | Vip Doctors Care of St Augustine LLC 655 State Road 207 Suite 102 St Augustine FL 32084-5937 Ph: (561) 843-7720 |
| NPI Number | 1114351079 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 08/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114351079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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