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Organization

MDVIP MEDICAL GROUP CT LLC

Active
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Organization

MDVIP MEDICAL GROUP CT LLC

Active
Parent organization
MDVIP MEDICAL GROUP HOLDINGS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MDVIP MEDICAL GROUP HOLDINGS LLC
Authorized official
DR. ANDREA KLEMES D.O. (CHIEF MEDICAL OFFICER)
(561) 982-4300
Entity
Organization

Contact information

Practice address
4950 COMMUNICATION AVE, SUITE 100, BOCA RATON, FL 33431-3307
(561) 982-4300
(561) 953-6617
Mailing address
4950 COMMUNICATION AVE, SUITE 100, BOCA RATON, FL 33431-3307
(561) 982-4300
(561) 953-6617

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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