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NPI 1720906522

NPI 1720906522 : VMV MED SERVICES LLC : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1720906522
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    Entity Type          |    Organization 
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    Legal Business Name  |    VMV MED SERVICES LLC 
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Dates
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    Enumeration Date     |    07/08/2026
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    Last Update Date     |    07/08/2026
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Provider Practice Location Address
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    Address Line         |    2120 SW 42ND TER STE A 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33317-6314
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    Country              |    US
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    Telephone            |    954-560-4817
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    Fax                  |    954-321-5564
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Provider Business Mailing Address
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    Address Line         |    2120 SW 42ND TER STE A 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33317-6314
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    Country              |    US
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    Telephone            |    954-560-4817
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    Fax                  |    954-321-5564
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     VICTOR M VEGA 
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    Credential           |    CCM/PCT/CNA
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    Telephone            |    954-560-4817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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