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Organization
VITALMD GROUP HOLDING LLC
Active
Organization
VITALMD GROUP HOLDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER VIZOSO (PRESIDENT)
(305) 273-4641
Entity
Organization
Contact information
Practice address
3225 AVIATION AVE, SUITE #700, MIAMI, FL 33133-4741
(305) 273-4641
(305) 273-1497
Mailing address
PO BOX 850001, DEPT 8542, ORLANDO, FL 32885-8576
(305) 273-4641
(305) 273-1497
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
—
NULL
207VE0102X
Reproductive Endocrinology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
NULL
207VX0201X
Gynecologic Oncology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
FL
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
NULL
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269024100
—
FL
01
—
33217
BCBS
FL
Enumeration date
01/16/2006
Last updated
06/12/2026
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