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Organization
VIP MEDICAL CENTER, PLLC
Active
Organization
VIP MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENRIYETTA ROZENBLAT D.O. (OWNER PHYSICIAN)
(305) 318-5696
Entity
Organization
Contact information
Practice address
2500 E HALLANDALE BEACH BLVD, SUITE 203, HALLANDALE BEACH, FL 33009-4834
(954) 501-0010
(305) 455-9676
Mailing address
301 174TH STREET, SUITE 1714, SUNNY ISLES, FL 33160
(954) 501-0010
(305) 455-9676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS11798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006672600
—
FL
Enumeration date
09/09/2014
Last updated
10/06/2014
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