Healthcare Provider Details

I. General information

NPI: 1710699798
Provider Name (Legal Business Name): VALUE IN PREVENTION OF PENNSYLVANIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 HERITAGE CENTER DR STE 200
FURLONG PA
18925-1262
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 267-247-5100
  • Fax: 267-406-4423
Mailing address:
  • Phone: 561-982-4300
  • Fax: 561-953-6617

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