Vida-Flo

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

7919 Issued in GA

Legal business name

VIDA-FLO

Practice address

2221 Peachtree Rd NE Ste Q
Atlanta, GA 30309-1106

Phone

(404) 343-4973

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Steven Kane, M.D.

Title

Supervising Physician

Phone

(573) 825-6097

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1578098471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE STE Q",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE STE Q",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091106",
            "telephone_number": "404-343-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA-FLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "573-825-6097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "7919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.