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Organization
VIP DOCTORS CARE OF ST AUGUSTINE LLC
Active
Organization
VIP DOCTORS CARE OF ST AUGUSTINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DICAPUA (MANAGING MEMBER)
(561) 843-7720
Entity
Organization
Contact information
Practice address
655 STATE ROAD 207, SUITE 102, ST AUGUSTINE, FL 32084-5937
(561) 843-7720
Mailing address
2301 NW 33RD CT, SUITE 111, POMPANO BEACH, FL 33069-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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