Healthcare Provider Details

I. General information

NPI: 1114500923
Provider Name (Legal Business Name): VIP MOBILE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 NW 2ND AVE STE 1A
MIAMI FL
33127-2126
US

IV. Provider business mailing address

5121 NW 2ND AVE STE 1A
MIAMI FL
33127-2126
US

V. Phone/Fax

Practice location:
  • Phone: 954-932-6246
  • Fax:
Mailing address:
  • Phone: 954-932-6246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: WOODYNN FIDELE
Title or Position: CEO
Credential: DNP, APRN, FNP-BC
Phone: 954-932-6246