# PRIME CARE VIP LLC

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

## Provider details

- **NPI number:** 1154162493
- **Authorized official:** MR. MICHAEL LAWRENCE KIEFFER APRN (CEO)
- **Authorized official phone:** (561) 948-2020

## Contact information

- **Practice address:** 990 S ROGERS CIR STE 4, BOCA RATON, FL 33487-2836
- **Practice address phone:** (561) 948-2020
- **Practice address fax:** (561) 785-0802
- **Mailing address:** 990 S ROGERS CIR STE 4, BOCA RATON, FL 33487-2836
- **Mailing address phone:** (561) 948-2020
- **Mailing address fax:** (561) 785-0802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 02/24/2026