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Organization
ELEVATED VITALITY WELLNESS
Active
Organization
ELEVATED VITALITY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY HERFIELD (MBR)
(561) 704-6781
Entity
Organization
Contact information
Practice address
12008 S SHORE BLVD STE 107, WELLINGTON, FL 33414-6395
(561) 704-6781
Mailing address
14618 64TH CT N, LOXAHATCHEE, FL 33470-4548
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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