Organization Active NPI

Vital Care Medical Center, Inc

  • Family Medicine Physician
  • Greenacres, FL
National Provider Identifier
1407093412
Registry record updated Sep 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HCC8337 Issued in FL
Legal business name
VITAL CARE MEDICAL CENTER, INC
Practice address
2188 Jog Road
Greenacres, FL 33415
Phone
(561) 439-0850
Fax
(561) 439-0819
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2016

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

Authorized official

Name
Mr. Adam K. Berry, MD
Title
Physician, Owner
Phone
(561) 439-0850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X HCC8337 FL Primary

Addresses

Primary practice location

2188 Jog Road
Greenacres, FL 33415

Mailing address

2188 Jog Road
Greenacres, FL 33415
Phone (561) 439-0850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474070400000",
    "number": "1407093412",
    "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": "33415",
            "telephone_number": "561-439-0850",
            "fax_number": "561-439-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 JOG ROAD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33415",
            "telephone_number": "561-439-0850",
            "fax_number": "561-439-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2016-09-17",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "561-439-0850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC8337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; 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.