Vital Care Medical Center, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC6337 Issued in FL

Legal business name

VITAL CARE MEDICAL CENTER, INC.

Practice address

2188 Jog Rd
Greenacres, FL 33415-6016

Phone

(561) 439-8050

Fax

(561) 439-0819

NPI assigned

Jun 14, 2010

Organization subpart

No

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

Authorized official

Name

Giovanna Shirley Gonalez

Title

President

Phone

(561) 439-0850

Specialties & licenses 1

Addresses

Tax ID family

Vital Care Medical Center Inc2 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.

• Vital Care Medical Center, Inc.

  • Clinical Medical Laboratory
  • Greenacres, FL
  • NPI 1003126012
  NPD tax ID

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1346561388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 JOG ROAD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334152188",
            "telephone_number": "561-439-8050",
            "fax_number": "561-439-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156016",
            "telephone_number": "561-439-8050",
            "fax_number": "561-439-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "GONALEZ",
        "authorized_official_first_name": "GIOVANNA",
        "authorized_official_middle_name": "SHIRLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-439-0850"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC6337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Greenacres, FL
• Providers in Greenacres, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.