| NPI | 1114657848 |
|---|---|
| Former Legal Business Name | VIP HOME CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | DELONE GARCIA Manager 954-383-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |