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General NPI Number Information
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NPI Number | 1154206381
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Entity Type | Organization
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Legal Business Name | ONLY VIP CARE LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 250 S BEACH ST
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4431
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Country | US
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Telephone | 386-674-0046
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Fax | 386-674-0047
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Provider Business Mailing Address
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Address Line | 2979 SEA OATS CIR
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City | DAYTONA BEACH SHORES
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State | FL
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Zip | 32118-5939
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Country | US
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Telephone | 407-832-6063
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Fax | 386-674-0047
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MRS. SUZETTE SANDRA GONDERA
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Credential | RN
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Telephone | 407-832-6063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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