Provider Demographics
NPI:1760017396
Name:MY VIRTUAL DOCTOR
Entity Type:Organization
Organization Name:MY VIRTUAL DOCTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:GREGG
Authorized Official - Last Name:NADLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-803-6286
Mailing Address - Street 1:7451 WILES RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2040
Mailing Address - Country:US
Mailing Address - Phone:855-803-6286
Mailing Address - Fax:800-849-1727
Practice Address - Street 1:7451 WILES RD STE 105
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2040
Practice Address - Country:US
Practice Address - Phone:855-803-6286
Practice Address - Fax:800-849-1727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management