Provider Demographics
NPI:1033502182
Name:VIP HEALTH ASSISTANCE LLC
Entity Type:Organization
Organization Name:VIP HEALTH ASSISTANCE LLC
Other - Org Name:VIP WALK IN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:F
Authorized Official - Last Name:FARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-730-9911
Mailing Address - Street 1:12139 S APOPKA VINELAND RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-6802
Mailing Address - Country:US
Mailing Address - Phone:407-730-9911
Mailing Address - Fax:407-768-1479
Practice Address - Street 1:12139 S APOPKA VINELAND RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32836-6802
Practice Address - Country:US
Practice Address - Phone:407-730-9911
Practice Address - Fax:407-768-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center