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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