VIP INTEGRATIVE HEALTH CARE LLC

Provider Demographics

• NPI: 1457083727
• Name: VIP INTEGRATIVE HEALTH CARE LLC
• Entity Type: Organization
• Organization Name: VIP INTEGRATIVE HEALTH CARE LLC
• Authorized Official - Title/Position: OWNER
• Authorized Official - First Name: MARTINE
• Authorized Official - Last Name: SENATUS
• Authorized Official - Credentials: APRN
• Authorized Official - Phone: 561-908-3764
• Mailing Address - Street 1: 11020 81ST CT N
• Mailing Address - City: PALM BEACH GARDENS
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33412-1519
• Mailing Address - Country: US
• Mailing Address - Phone: 561-908-3764
• Mailing Address - Fax: 747-220-0351
• Practice Address - Street 1: 3600 FOREST HILL BLVD
• Practice Address - City: WEST PALM BEACH
• Practice Address - State: FL
• Practice Address - Zip Code: 33406-5617
• Practice Address - Country: US
• Practice Address - Phone: 561-909-8555
• Practice Address - Fax: 747-220-0351
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2022-06-27
• Last Update Date: 2023-09-06

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	363LP2300X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Primary Care	Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	208D00000X	Allopathic & Osteopathic Physicians	General Practice		Group - Multi-Specialty
No	261QH0100X	Ambulatory Health Care Facilities	Clinic/Center	Health Service	Group - Multi-Specialty
No	261QI0500X	Ambulatory Health Care Facilities	Clinic/Center	Infusion Therapy
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty
No	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center	Primary Care
No	332900000X	Suppliers	Non-Pharmacy Dispensing Site
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty