Vip Doctors Care of St Augustine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIP DOCTORS CARE OF ST AUGUSTINE LLC

Practice address

655 State Road 207
Suite 102
St Augustine, FL 32084-5937

Phone

(561) 843-7720

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Joseph Dicapua

Title

Managing Member

Phone

(561) 843-7720

Specialties & licenses 1

Addresses

Tax ID family

Vip Doctors Care of Bunnel LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vip Doctors Care of Bunnel LLC

  • Family Medicine Physician
  • Bunnell, FL
  • NPI 1760810519
  NPD tax ID

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1114351079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NW 33RD CT",
            "address_2": "SUITE 111",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 STATE ROAD 207",
            "address_2": "SUITE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845937",
            "telephone_number": "561-843-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP DOCTORS CARE OF ST AUGUSTINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "DICAPUA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-843-7720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Villasis, M.S., CF-SLP
• Maren E Villavisanis, LCSW
• Maribel Villegas, ARNP
• Melissa Vincent, SLP
• James Viola
• Vivian Page Virga, P.T.
• Daniel Jacob Vish, D.C.
• Vista Wellness, LLC
• Vital Care DME LLC
• Vital Yoga Therapeutics, LLC

• Family Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.