# PREMIERMD VIP HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1669013975
- **Authorized official:** DR. VICTOR TOLEDANO MD (OWNER)
- **Authorized official phone:** (954) 566-7775

## Contact information

- **Practice address:** 3465 GALT OCEAN DR STE 101, FORT LAUDERDALE, FL 33308-7077
- **Practice address phone:** (954) 566-7775
- **Practice address fax:** (954) 566-9997
- **Mailing address:** 3465 GALT OCEAN DR STE 101, FORT LAUDERDALE, FL 33308-7077
- **Mailing address phone:** (954) 566-7775
- **Mailing address fax:** (954) 566-9997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2019
- **Last updated:** 10/08/2019