# VCA MEDICAL, INC

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

## Provider details

- **NPI number:** 1710433198
- **Authorized official:** NIOVES PORTILLO (MANAGER)
- **Authorized official phone:** (305) 854-8446

## Contact information

- **Practice address:** 2801 SW 3RD AVE, MIAMI, FL 33129-2316
- **Practice address phone:** (305) 854-8446
- **Practice address fax:** (305) 859-7849
- **Mailing address:** 7925 NW 12TH ST, SUITE 401, DORAL, FL 33126-1827
- **Mailing address phone:** (305) 854-8446
- **Mailing address fax:** (305) 859-7849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 08/26/2016
- **Last updated:** 08/26/2016