Organization Active NPI

Vip Urgent Care Inc.

  • Urgent Care Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1083766901
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME76345 Issued in FL
Legal business name
VIP URGENT CARE INC.
Practice address
3555 Northlake Blvd Ste 2
Palm Beach Gardens, FL 33403-1625
Phone
(561) 626-4878
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Mr. Matthew Tyler Thomas, MD
Title
President and Ceo
Phone
(561) 626-4878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ME76345 FL Primary

Addresses

Primary practice location

3555 Northlake Blvd Ste 2
Palm Beach Gardens, FL 33403-1625

Mailing address

3555 Northlake Blvd Ste 2
Palm Beach Gardens, FL 33403-1625
Phone (561) 626-4878

Other names 1

  • Gardens Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

3555 Northlake Blvd
Ste 2
Palm Beach Gardens, FL 33403
Phone (561) 310-8967

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1083766901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 NORTHLAKE BLVD STE 2",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031625",
            "telephone_number": "561-626-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 NORTHLAKE BLVD STE 2",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031625",
            "telephone_number": "561-626-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP URGENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "561-626-4878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME76345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardens Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.