Organization
VITON THERAPY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO TRUJILLO (OWNER)
(305) 264-9061
Entity
Organization
Contact information
Practice address
7811 CORAL WAY, SUITE 105, MIAMI, FL 33155-6540
(305) 264-9061
(305) 264-9062
Mailing address
7811 CORAL WAY, SUITE 105, MIAMI, FL 33155-6540
(305) 264-9061
(305) 264-9062
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AHCA HCC9398
FL
Other
Enumeration date
02/29/2012
Last updated
03/20/2012
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