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Organization
VICE MEDICAL
Active
Organization
VICE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD TINA (MANAGER)
(561) 910-0566
Entity
Organization
Contact information
Practice address
8401 LAKE WORTH RD STE 115, LAKE WORTH, FL 33467-2400
(561) 910-0566
(561) 209-6876
Mailing address
8401 LAKE WORTH RD STE 115, LAKE WORTH, FL 33467-2400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/08/2022
Last updated
02/14/2024
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