# VYTALIZE HEALTH

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

## Provider details

- **NPI number:** 1568083533
- **Authorized official:** MR. FARIS GHAWI (CEO / CO-FOUNDER)
- **Authorized official phone:** (202) 286-6666

## Contact information

- **Practice address:** 1071 E FRANKLIN ST, CARTHAGE, MS 39051-3601
- **Practice address phone:** (601) 267-4562
- **Mailing address:** 2 HUDSON PL FL 6, HOBOKEN, NJ 07030-5594
- **Mailing address phone:** (201) 205-2628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2020
- **Last updated:** 05/18/2021