# MDC VITACARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174464705
- **Authorized official:** MABY DE LA CARIDAD GONZALEZ PRIETO (OWNER)
- **Authorized official phone:** (786) 558-4449

## Contact information

- **Practice address:** 9930 SW 40TH ST, MIAMI, FL 33165-3944
- **Practice address phone:** (786) 558-4449
- **Practice address fax:** (786) 936-6655
- **Mailing address:** 9930 SW 40TH ST, MIAMI, FL 33165-3944
- **Mailing address phone:** (786) 558-4449
- **Mailing address fax:** (786) 936-6655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2026
- **Last updated:** 04/06/2026