Active NPI
Vip Urgent Care Inc.
- Urgent Care Clinic/Center
- Palm Beach Gardens, FL
National Provider Identifier
1083766901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- ME76345
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.