Organization
BIENESTAR VITALITY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACQUEL TUCKER FNP (DIRECTOR)
(352) 328-2967
Entity
Organization
Contact information
Practice address
5968 ABBEY RD, TAMARAC, FL 33321-4114
(352) 328-2967
Mailing address
5968 ABBEY RD, TAMARAC, FL 33321-4114
(352) 328-2967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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