Organization Active NPI

V.I.P MD Care LLC

  • Internal Medicine Physician
  • St Augustine, FL
National Provider Identifier
1225456155
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
V.I.P MD CARE LLC
Practice address
100 Arricola Ave
St Augustine, FL 32080-4515
Phone
(954) 586-8058
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Roy Hinman
Title
MGR
Phone
(954) 586-8058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 Arricola Ave
St Augustine, FL 32080-4515

Mailing address

2730 N State Road 7
Margate, FL 33063-5726

National Provider Directory

National Provider Directory

Locations

2730 N State Road 7
Margate, FL 33063
Phone (561) 688-8917

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1225456155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804515",
            "telephone_number": "954-586-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.I.P MD CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "HINMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-586-8058"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.