Organization
BIO VITA MEDICAL CENTER LLC.
Active
Other names
Bio Vita wellness center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YUNIOR BASULTO OWNRE (PRESIDENT)
(786) 773-5872
Entity
Organization
Contact information
Practice address
1490 W 49TH PL, 401, HIALEAH, FL 33012-3148
(786) 733-5872
(786) 733-5872
Mailing address
1490 W 49TH PL, 401, HIALEAH, FL 33012-3148
(786) 733-5872
(786) 733-5872
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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