Van Buren Medical Center, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

54112 Issued in FL

Legal business name

VAN BUREN MEDICAL CENTER, INC.

Practice address

2600 Van Buren St
Hollywood, FL 33020-4818

Phone

(954) 921-7533

Fax

(954) 921-7505

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Alix Gay, MD

Title

President

Phone

(954) 921-7533

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Giovanna A Baldarrago, M.D.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1265633994
  NPD (past)
• Didier Beauboeuf

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1053882639
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1093025231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204818",
            "telephone_number": "954-921-7533",
            "fax_number": "954-921-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204818",
            "telephone_number": "954-921-7533",
            "fax_number": "954-921-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "ALIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-921-7533",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "54112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fannie C Valle
• Daniela Vallejo
• Kristhel Vallejo
• Catherine Nicole Vallorani, PA-C
• Kemly Valmyr, NP
• Garrett James Van Ostran, DO
• Mary Van, PHARMACY DOCTORATE
• Vandor Geriatric Homecare Inc.
• Vandor Geriatric Homecare Inc.
• Vanessa Louissaint OD PA

• Primary Care Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.