Organization
DJP VIP ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMENIC J POMPILE CSCS (OWNER)
(561) 674-5151
Entity
Organization
Contact information
Practice address
4849 LAKE WORTH RD, SUITE 203, GREENACRES, FL 33463-3455
(561) 674-5151
(561) 372-9251
Mailing address
799 APPLEBY ST, BOCA RATON, FL 33487-2441
(561) 372-9251
(561) 372-9251
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT18160
FL
Other
Enumeration date
12/04/2013
Last updated
03/06/2014
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