# VITAL CARE MEDICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1346561388
- **Authorized official:** GIOVANNA SHIRLEY GONALEZ (PRESIDENT)
- **Authorized official phone:** (561) 439-0850

## Contact information

- **Practice address:** 2188 JOG RD, GREENACRES, FL 33415-6016
- **Practice address phone:** (561) 439-8050
- **Practice address fax:** (561) 439-0819
- **Mailing address:** 2188 JOG ROAD, GREENACRES, FL 33415-2188
- **Mailing address phone:** (561) 439-8050
- **Mailing address fax:** (561) 439-0819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC6337 | FL | Yes |

## Other

- **Enumeration date:** 06/14/2010
- **Last updated:** 06/14/2010