1003126012 NPI number — VITAL CARE MEDICAL CENTER, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003126012 NPI number — VITAL CARE MEDICAL CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VITAL CARE MEDICAL CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003126012
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2188 JOG RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENACRES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33415-6016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-439-0850
Provider Business Mailing Address Fax Number:
561-439-0819

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2188 JOG RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENACRES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33415-6016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-439-0850
Provider Business Practice Location Address Fax Number:
561-439-0819
Provider Enumeration Date:
10/12/2010

Additional Information

Authorized Official

Authorized Official Last Name:
GIL
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
DOLORES
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
561-439-0850

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  800024747 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com