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

NPI Status: Active since December 02, 2022

Contact Information

3200 N FEDERAL HWY
K5
FORT LAUDERDALE, FL
ZIP 33306
Phone: (954) 440-6468

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  • Organization
  • Emergency Medicine
  • CLIA Number: 10D2273674
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-15-2026

About VIVAGEN HEALTH CORAL RIDGE

This page provides the complete NPI Profile along with additional information for Vivagen Health Coral Ridge, a provider established in Fort Lauderdale, Florida operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1083324883 assigned on December 2022. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Prof. Erik G Camp Pa (Manager)

NPI
1083324883
Provider Name
VIVAGEN HEALTH CORAL RIDGE
Entity Type
Organization
Location Address
3200 N FEDERAL HWY K5 FORT LAUDERDALE, FL 33306
Location Phone
(954) 440-6468
Mailing Address
3200 N FEDERAL HWY K5 FORT LAUDERDALE, FL 33306
Mailing Phone
(954) 440-6468
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-02-2022
Last Update Date
02-24-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PROF. ERIK G CAMP PA

Authorized Official Title
MANAGER
Authorized Official Phone
(954) 440-6468

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2273674
Facility Type
Physician Office
Certificate Effective Date
December 16, 2024
Certificate Expiration Date
December 15, 2026
Laboratory Director
LEONARD PIANKO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vivagen Health Coral Ridge to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083324883, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 6 + 2 + 8 + 8 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1083324883.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Pharmacist
3200 N FEDERAL HWY, T-1163
FORT LAUDERDALE, FL 33306
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Pharmacist
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306
Pharmacy
3200 N FEDERAL HWY
FORT LAUDERDALE, FL 33306

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083324883, enumerated as an "organization" on December 02, 2022.

The provider is located at 3200 N FEDERAL HWY K5 FORT LAUDERDALE, FL 33306 and the phone number is (954) 440-6468.

Emergency Medicine with taxonomy code 207P00000X.