Mdvip Medical Group FL PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MDVIP MEDICAL GROUP FL PLLC

Practice address

1411 N Flagler Dr
Suite 6200
West Palm Beach, FL 33401-3404

Phone

(561) 659-1238

Fax

(561) 953-6617

NPI assigned

Jan 5, 2017

Organization subpart

Yes

Parent organization

MDVIP MEDICAL GROUP HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Andrea Klemes, D.O.

Title

Sole Member

Phone

(561) 982-4300

Specialties & licenses 1

Addresses

Part of

Mdvip Medical Group Holdings LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mdvip Medical Group Holdings, LLC

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1568817799
  NPPES parent name

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1053856617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313307",
            "telephone_number": "561-982-4300",
            "fax_number": "561-953-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR",
            "address_2": "SUITE 6200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-659-1238",
            "fax_number": "561-953-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDVIP MEDICAL GROUP FL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDVIP MEDICAL GROUP HOLDINGS LLC",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "KLEMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "561-982-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Path LLC
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• MDM Chiropractic Center
• MDS Dental of Florida PA
• Juanita Ann Meadley, LCSW
• Cynthia Meadows, AU.D.
• Arleidys Meana Perez
• Linda Sue Meckler, BCBA
• Claudia Mecol

• Internal Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.