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Organization
VITA FORTIS HEALTH PLLC
Active
Organization
VITA FORTIS HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYREE MARSHAWN SMITH NP (CEO/ NURSE PRACTITIONER)
(716) 239-2847
Entity
Organization
Contact information
Practice address
9700 N 91ST ST STE A115, SCOTTSDALE, AZ 85258-5036
(716) 239-2847
Mailing address
620 AYER RD, BUFFALO, NY 14221-2704
(716) 239-2847
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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