Individual
MARIA C VITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9995 SW 72ND ST, MIAMI, FL 33173-4662
(786) 263-0063
(305) 279-3611
Mailing address
9995 SW 72ND ST, MIAMI, FL 33173-4662
(786) 263-0063
(305) 279-3611
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA47017
FL
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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