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Organization
VITAL HEALTH SERVICES, INC
Active
Organization
VITAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY B PUNZALAN CRNA (PRESIDENT)
(305) 606-0228
Entity
Organization
Contact information
Practice address
5787A NW 151ST ST, MIAMI LAKES, FL 33014-2490
(305) 817-8799
(305) 817-8648
Mailing address
5787A NW 151ST ST, MIAMI LAKES, FL 33014-2490
(305) 817-8799
(305) 817-8648
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA29992169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651282800
—
FL
Enumeration date
10/28/2006
Last updated
12/14/2011
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