Florida Vip Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME99104 Issued in FL

Legal business name

FLORIDA VIP MEDICAL LLC

Practice address

5341 W Atlantic Ave
Suite 300
Delray Beach, FL 33484-8167

Phone

(561) 272-5282

NPI assigned

Jun 10, 2015

Last updated

Jun 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olga Decker, M.D

Title

MD

Phone

(561) 272-5282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1063893584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 W ATLANTIC AVE",
            "address_2": "SUITE 300",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848167",
            "telephone_number": "561-272-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W ATLANTIC AVE",
            "address_2": "SUITE 300",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848167",
            "telephone_number": "561-272-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA VIP MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-272-5282",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Delray Beach, FL
• Providers in Delray 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 Jun 10, 2015; 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.