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Organization
OD VITALITY LLC
Active
Organization
OD VITALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBDELIS DOMINGUEZ (NP)
(786) 447-2902
Entity
Organization
Contact information
Practice address
2860 SW 133RD CT, MIAMI, FL 33175-7133
(786) 447-2902
Mailing address
2860 SW 133RD CT, MIAMI, FL 33175-7133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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