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Organization
VITAL VITA WELLNESS
Active
Organization
VITAL VITA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TARANEISHA R BURGESS APRN (OWNER/ NURSE PRACTITIONER)
(561) 602-2682
Entity
Organization
Contact information
Practice address
2620 N AUSTRALIAN AVE STE 109, WEST PALM BEACH, FL 33407-5625
(754) 457-8490
Mailing address
1537 43RD ST, WEST PALM BEACH, FL 33407-3607
(561) 602-2682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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