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Organization

MDVIP MEDICAL GROUP NC PLLC

Active
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Organization

MDVIP MEDICAL GROUP NC PLLC

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 (MEMBER)
(561) 982-4300
Entity
Organization

Contact information

Practice address
2301 REXWOODS DR, SUITE 118, RALEIGH, NC 27607-0156
(919) 803-1417
Mailing address
4950 COMMUNICATION AVE, SUITE 100, BOCA RATON, FL 33431-3307
(561) 982-4300

Taxonomy

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

Other

Enumeration date
03/03/2017
Last updated
03/03/2017
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