Provider Demographics
NPI:1700595618
Name:VMFL MEDICAL CENTERS LLC
Entity Type:Organization
Organization Name:VMFL MEDICAL CENTERS LLC
Other - Org Name:VIVAMAS MEDICAL CENTER - WESTCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SERURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-894-6358
Mailing Address - Street 1:9000 NW 15TH ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2990
Mailing Address - Country:US
Mailing Address - Phone:786-894-6358
Mailing Address - Fax:833-778-7787
Practice Address - Street 1:8415 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2305
Practice Address - Country:US
Practice Address - Phone:305-537-4115
Practice Address - Fax:305-675-0859
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VMFL MEDICAL CENTERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-18
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty