| Vip Medical Center, Pllc | |
|
2500 E Hallandale Beach Blvd Suite 203 Hallandale Beach FL 33009-4834 | |
| (954) 501-0010 | |
| (305) 455-9676 |
| Full Name | Vip Medical Center, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Genriyetta Rozenblat (OWNER PHYSICIAN) |
| Authorized Official Contact | 3053185696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Medical Center, Pllc 301 174th Street Suite 1714 Sunny Isles FL 33160 Ph: (954) 501-0010 | Vip Medical Center, Pllc 2500 E Hallandale Beach Blvd Suite 203 Hallandale Beach FL 33009-4834 Ph: (954) 501-0010 |
| NPI Number | 1639570674 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 10/06/2014 |
| Medicare PECOS PAC ID | 5890013155 |
|---|---|
| Medicare Enrollment ID | O20150416001339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639570674 | NPI | - | NPPES |
| 006672600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS11798 (Florida) | Primary |
| Provider Name | Genriyetta Rozenblat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275855983 PECOS PAC ID: 3173772654 Enrollment ID: I20120926000514 |
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