Provider Demographics
NPI:1700191194
Name:VP FIRST ASSISTANT SERVICES,LLC
Entity Type:Organization
Organization Name:VP FIRST ASSISTANT SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:JULIET
Authorized Official - Last Name:POSADA
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:561-568-1342
Mailing Address - Street 1:13480 EXOTICA LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8507
Mailing Address - Country:US
Mailing Address - Phone:561-568-1342
Mailing Address - Fax:
Practice Address - Street 1:13480 EXOTICA LN
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8507
Practice Address - Country:US
Practice Address - Phone:561-568-1342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9256208163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty