# FLORIDA VIP MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063893584
- **Authorized official:** OLGA DECKER M.D (MD)
- **Authorized official phone:** (561) 272-5282

## Contact information

- **Practice address:** 5341 W ATLANTIC AVE, SUITE 300, DELRAY BEACH, FL 33484-8167
- **Practice address phone:** (561) 272-5282
- **Mailing address:** 5341 W ATLANTIC AVE, SUITE 300, DELRAY BEACH, FL 33484-8167
- **Mailing address phone:** (561) 272-5282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME99104 | FL | Yes |

## Other

- **Enumeration date:** 06/10/2015
- **Last updated:** 06/10/2015