Premiermd Vip Healthcare LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PREMIERMD VIP HEALTHCARE LLC

Practice address

3465 Galt Ocean Dr Ste 101
Fort Lauderdale, FL 33308-7077

Phone

(954) 566-7775

Fax

(954) 566-9997

NPI assigned

Oct 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Victor Toledano, MD

Title

Owner

Phone

(954) 566-7775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1669013975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-566-7775",
            "fax_number": "954-566-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 GALT OCEAN DR STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087077",
            "telephone_number": "954-566-7775",
            "fax_number": "954-566-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERMD VIP HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "TOLEDANO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-566-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premiermd Sim, LLC
• Premiermd Telemedicine, LLC
• Premium Standard Home Health of Florida Inc
• Conor Prendergast, MD
• Jason-Anthony Kirkham Prendergast
• Shanik D Prendes
• Prescriptrx Pharmacy LLC

• Exclusive Provider Organization in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.