Healthcare Provider Details

I. General information

NPI: 1295422913
Provider Name (Legal Business Name): VALUE IN PREVENTION OF DELAWARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 YORKLYN RD STE 125
HOCKESSIN DE
19707-8731
US

IV. Provider business mailing address

4950 COMMUNICATION AVE STE 100
BOCA RATON FL
33431-3308
US

V. Phone/Fax

Practice location:
  • Phone: 302-239-4097
  • Fax: 302-239-6238
Mailing address:
  • Phone: 561-982-4300
  • Fax: 561-455-9215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREA KLEMES
Title or Position: CHIEF MEDICAL OFFICER
Credential: DO
Phone: 561-982-4300