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Organization
VITALGENIX HEALTH & WELLNESS, LLC
Active
Organization
VITALGENIX HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL ENRIQUE TAMAYO M.D. (OWNER)
(407) 636-9663
Entity
Organization
Contact information
Practice address
1325 S INTERNATIONAL PKWY, SUITE 2241, LAKE MARY, FL 32746-1695
(407) 636-9663
(407) 636-9664
Mailing address
1325 S INTERNATIONAL PKWY, SUITE 2241, LAKE MARY, FL 32746-1695
(407) 636-9663
(407) 636-9664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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