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Organization
VITAL CARE TELE NP LLC
Active
Organization
VITAL CARE TELE NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SIMONE GORDON (OWNER)
(561) 503-0309
Entity
Organization
Contact information
Practice address
6826 ALISO AVE, WEST PALM BEACH, FL 33413-1036
(561) 503-0309
Mailing address
6826 ALISO AVE, WEST PALM BEACH, FL 33413-1036
(561) 503-0309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
10/30/2024
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