Vivagen Health Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

VIVAGEN HEALTH URGENT CARE

Practice address

8240 Pines Blvd # B
Pembroke Pines, FL 33024-6712

Phone

(954) 440-6468

NPI assigned

Nov 18, 2022

Organization subpart

Yes

Parent organization

VIVAGEN HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Erik G Camp, PA

Title

Manager

Phone

(954) 440-6468

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vivagen Health Coral Ridge2 organizations share this tax ID, including this one

Part of

Vivagen Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vivagen Health Coral Ridge

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1083324883
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vivagen Health

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1205561453
  NPPES parent name

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1891404877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 PINES BLVD # B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246712",
            "telephone_number": "954-440-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 PINES BLVD # B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246712",
            "telephone_number": "954-440-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVAGEN HEALTH URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIVAGEN HEALTH LLC",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-440-6468",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115105400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vita-Health, Inc.
• Vital Healthcare Centers Corp
• Vitality Counseling and Wellness
• Alexandra Matina Vitiello
• Vivagen Health
• Maryory Y Vivenes
• Jamie Vives, RCSWI
• Vivian Bilasano MD LLC
• Vivo Therapy LLC
• VM Counseling Services Inc.

• Urgent Care Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.