| Mend Vip, Inc | |
|
4767 New Broad St Orlando FL 32814-6405 | |
| (407) 848-1013 | |
| Not Available |
| Full Name | Mend Vip, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4767 New Broad St, Orlando, Florida |
| Authorized Official Name and Position | Matthew Mcbride (CEO) |
| Authorized Official Contact | 7347481079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mend Vip, Inc 4767 New Broad St Orlando FL 32814-6405 Ph: (407) 848-1013 | Mend Vip, Inc 4767 New Broad St Orlando FL 32814-6405 Ph: (407) 848-1013 |
| NPI Number | 1437546900 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437546900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS4294 (Florida) | Primary |
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