OrganizationMdvip Medical Group Ct LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4950 Communication Ave, Suite 100, Boca Raton, FL 33431-3307(561) 982-4300PECOS EnrollmentBased on the most recent information from CMS, provider Mdvip Medical Group Ct Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1174978308Provider TypeOrganizationFull NameMdvip Medical Group Ct LlcSubpartYesEnumeration Date4/25/2016Last Updated4/25/2016Contact InformationPractice LocationPractice Address4950 Communication Ave, Suite 100, Boca Raton, FL 33431-3307Phone(561) 982-4300Fax(561) 953-6617Mailing LocationMailing Address4950 Communication Ave, Suite 100, Boca Raton, FL 33431-3307Phone(561) 982-4300Fax(561) 953-6617Authorized OfficialNameKlemes, Andrea (Chief Medical Officer)Phone(561) 982-4300Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer