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VIVAGEN HEALTH CORAL RIDGE
NPI 1083324883
Emergency Medicine in Fort Lauderdale, FL

Active since December 02, 2022CLIA 10D2273674 · Waiver
3200 N FEDERAL HWY, K5, FORT LAUDERDALE, FL 33306(954) 440-6468 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Dec 2, 2022 (2 updates tracked since 2022).

About Vivagen Health Coral Ridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVAGEN HEALTH CORAL RIDGE (NPI 1083324883) is a healthcare organization registered as an emergency medicine in Fort Lauderdale, Florida and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Erik G Camp, Manager, as its authorized official.

NPPES Registry Identity

NPI1083324883
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameVIVAGEN HEALTH CORAL RIDGE
Location Address3200 N FEDERAL HWY, K5Fort Lauderdale, FL 33306-1066
Mailing Address3200 N Federal Hwy, K5Fort Lauderdale, FL 33306-1066 · (954) 440-6468
Phone(954) 440-6468
Organization SubpartYesParent: Vivagen Health Urgent Care
Authorized OfficialErik G CampManager · (954) 440-6468
Enumeration DateDecember 2, 2022
Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1083324883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3200 N FEDERAL HWY, Fort Lauderdale, FL 33306
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Other Names 1

Other NameVivagen Health Urgen Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2273674

Vivagen Health LLC · Fort Lauderdale, FL
Active · expires Dec 15, 2026
CLIA Number10D2273674
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorLeonard Pianko
Laboratory Phone(954) 440-6468
Laboratory LocationVivagen Health LLC3200 North Federal Highway, Unit K-5, Fort Lauderdale, FL 33306
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA ANNEMARIE SWIFT PHARMD
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Broward County (954) 390-7056
MRS. LORI L SMILEY R.PH.
Pharmacist
3200 N FEDERAL HWY, T-1163
FORT LAUDERDALE, FL 33306
Broward County (954) 390-7056
BRIAN TULOWITZKI
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Broward County (954) 390-7056
PETER J DOLAN PHARM.D.
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Broward County (954) 390-7056
THOMAS G DOBRY R.PH.
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Broward County (954) 390-7056
HOLIDAY CVS LLC
Pharmacy
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Broward County (954) 390-7056
JASON L LYNCH PHARMD
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Broward County (954) 390-7056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivagen Health Coral Ridge's NPI number?

The NPI number for Vivagen Health Coral Ridge is 1083324883. It was assigned to this organization in the NPPES registry on December 2, 2022. The provider is also known as Vivagen Health Urgen Care.

Where is Vivagen Health Coral Ridge located?

Vivagen Health Coral Ridge is located at 3200 N Federal Hwy K5, Fort Lauderdale, FL 33306. The listed phone number is (954) 440-6468.

What is Vivagen Health Coral Ridge's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Vivagen Health Coral Ridge hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2273674) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vivagen Health Coral Ridge was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.