Organization
VITAL REPLENISH
Active
Organization
VITAL REPLENISH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELINE RAPHAEL APRN (OWNER)
(754) 272-0062
Entity
Organization
Contact information
Practice address
9900 W SAMPLE RD STE 300, CORAL SPRINGS, FL 33065-4077
(954) 272-0062
Mailing address
9900 W SAMPLE RD STE 300, CORAL SPRINGS, FL 33065-4077
(954) 272-0062
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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