MEDICARE: VIP KIDZ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM3000X	Medically Fragile Infants and Children Day Care	60081008	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60081008	OTHER	FL	AGENCY FOR HEALTH CARE ADMINISTRATION

General Provider Information

NPI Number	:	1518368471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIP KIDZ LLC

Provider Business Mailing Address
First Line	:	2500 METROCENTRE BLVD
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3107
Country	:	US
Telephone Number	:	561-223-2673
Fax Number	:	561-634-3903

Provider Business Practice Location Address
First Line	:	2500 METROCENTRE BLVD
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3107
Country	:	US
Telephone Number	:	561-223-2673
Fax Number	:	561-634-3903

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARIA A MANTILLA
Credential	:
Telephone Number	:	786-486-9513

Provider Enumeration Date	:	09/10/2014
Last Update Date	:	09/10/2014

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1821071366 — WEST PALM BEACH FAMILY DOCTORS, INC
Practice Location Address:

2500 METROCENTRE BLVD , SUITE 7
WEST PALM BEACH, FL
33407-3107

Practice Phone: 561-434-5678
Practice Fax: 561-964-9829

1528041068 — DR. DANA PHILLIP RICHARD D.O.
Practice Location Address:

2500 METROCENTRE BLVD , SUITE 7
WEST PALM BEACH, FL
33407-3107

Practice Phone: 561-434-5678
Practice Fax: 561-964-9829

1063770105 — LINCARE PULMONARY REHAB SERVICES OF FLORIDA, P.L.
Practice Location Address:

2500 METROCENTRE BLVD , STE 5
WEST PALM BEACH, FL
33407-3107

Practice Phone: 727-431-8261
Practice Fax: 877-408-4602

1962883728 — M NICOLAS ENTERPRISE LLC
Practice Location Address:

2500 METROCENTRE BLVD STE 7-8
WEST PALM BEACH, FL
33407-3107

Practice Phone: 800-409-3804
Practice Fax: 800-268-2183

1265065429 — BAIKAL MARKETING GROUP INC.
Practice Location Address:

2500 METROCENTRE BLVD STE 7
WEST PALM BEACH, FL
33407-3107

Practice Phone: 561-855-4678
Practice Fax: 561-855-4705

Directions to “VIP KIDZ LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.