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VITAMEDMD LLC NPI 1356608772


NPI Information

NPI: 1356608772
Provider Name: VITAMEDMD LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
951 BROKEN SOUND PKWY NW STE 320
BOCA RATON, FL
ZIP 33487
Phone: (561) 961-1921
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VITAMEDMD LLC is a non pharmacy dispensing site in Boca Raton, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) VITAMEDMD LLC NPI is 1356608772. The provider is registered as an organization entity type.

The provider's business location address is:

951 BROKEN SOUND PKWY NW STE 320
BOCA RATON, FL
ZIP 33487-531
Phone: (561) 961-1921
Fax: (561) 431-3389

The provider's authorized official is Mitchell Krassan .
The authorized official title is Chief Strategy Officer and has the following contact phone number (561) 961-1921.

The enumeration date for this NPI number is 4/23/2012 and was last updated on 4/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site1376866FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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