Provider Demographics
NPI:1891354635
Name:VIE MEDICAL CENTER INC.,
Entity Type:Organization
Organization Name:VIE MEDICAL CENTER INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-425-8888
Mailing Address - Street 1:PO BOX 7521
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33482-7521
Mailing Address - Country:US
Mailing Address - Phone:561-425-8888
Mailing Address - Fax:855-878-2200
Practice Address - Street 1:2160 W ATLANTIC AVE FL 1
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4660
Practice Address - Country:US
Practice Address - Phone:561-425-8888
Practice Address - Fax:855-878-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty