Organization Active NPI

Vital Care Medical Center, Inc.

  • Clinical Medical Laboratory
  • Greenacres, FL
National Provider Identifier
1003126012
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800024747 Issued in FL
Legal business name
VITAL CARE MEDICAL CENTER, INC.
Practice address
2188 Jog Rd
Greenacres, FL 33415-6016
Phone
(561) 439-0850
Fax
(561) 439-0819
NPI assigned
Oct 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jose Dolores Gil, MD
Title
Medical Director
Phone
(561) 439-0850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800024747 FL Primary

Addresses

Primary practice location

2188 Jog Rd
Greenacres, FL 33415-6016

Mailing address

2188 Jog Rd
Greenacres, FL 33415-6016
Phone (561) 439-0850

National Provider Directory

National Provider Directory
Tax ID family
Vital Care Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1003126012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156016",
            "telephone_number": "561-439-0850",
            "fax_number": "561-439-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156016",
            "telephone_number": "561-439-0850",
            "fax_number": "561-439-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-12",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-439-0850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800024747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.