| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VIP FAMILY PRACTICE LLC | 1669725552 | 2023-02-11 |
The organization Vip Family Practice Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1669725552. Registration indicates Vip Family Practice Llc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Address | City / State | Phone / Fax |
|---|---|---|
| 1192 Cypress Glen Cir | Kissimmee, FL 347417560 | 4076742044 / 4076742049 |
| 483 N Semoran Blvd Ste 210 | Winter Park, FL 327923800 | 4076742044 / 4076742049 |
| 405 W Oak St | Kissimmee, FL 347414931 | 4076742044 / 4076742049 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | ACN235
FL |
| 193400000X SING | Group Code |
| 000864700 | MEDICAID | FL |