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Organization
NURSING VITAL LIFE INC
Active
Organization
NURSING VITAL LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANDRA DE LA HILDA GARCIA SERRANO NP (NP)
(786) 609-3902
Entity
Organization
Contact information
Practice address
2720 SW 97TH AVE STE C-105, MIAMI, FL 33165-2677
(786) 332-4330
Mailing address
18521 NW 30TH AVE, MIAMI GARDENS, FL 33056-3003
(786) 609-3902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/26/2023
Last updated
04/30/2025
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