Healthcare Provider Details

I. General information

NPI: 1881354553
Provider Name (Legal Business Name): VIP HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2021
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 37TH ST
VERO BEACH FL
32960-4863
US

IV. Provider business mailing address

6955 37TH ST
VERO BEACH FL
32966-1417
US

V. Phone/Fax

Practice location:
  • Phone: 772-778-2100
  • Fax: 772-562-9763
Mailing address:
  • Phone: 772-778-2100
  • Fax: 772-562-9763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: GENE POSCA
Title or Position: MD
Credential:
Phone: 914-513-9338