Vivagen Health Coral Ridge

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

VIVAGEN HEALTH CORAL RIDGE

Practice address

3200 N Federal Hwy
K5
Fort Lauderdale, FL 33306-1066

Phone

(954) 440-6468

NPI assigned

Dec 2, 2022

Organization subpart

Yes

Parent organization

VIVAGEN HEALTH URGENT CAREAs reported in NPPES

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

Authorized official

Name

Prof. Erik G Camp, PA

Title

Manager

Phone

(954) 440-6468

Specialties & licenses 2

Addresses

Other names 1

• VIVAGEN HEALTH URGEN CARE Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Vivagen Health Coral Ridge2 organizations share this tax ID, including this one

Part of

Vivagen Health Coral Ridge

Other organizations with this tax ID 1

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

• Vivagen Health Urgent Care

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1891404877
  NPD tax ID

Locations

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1083324883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY",
            "address_2": "K5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061066",
            "telephone_number": "954-440-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY",
            "address_2": "K5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061066",
            "telephone_number": "954-440-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVAGEN HEALTH CORAL RIDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIVAGEN HEALTH URGENT CARE",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-440-6468",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVAGEN HEALTH URGEN CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Junisa Arines Vitente
• Arthur Vito, D.C.
• Franklin Marcelin Vixamar Sr.
• Carolina Vizcaino, RBT
• Ariana Vizzotto
• VK Supply Corp
• VMV Med Services LLC

• Emergency Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.