Organization
VITALITY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEONOR CASTILLO MARTINEZ (MGR ADMINISTRATOR)
(786) 533-0299
Entity
Organization
Contact information
Practice address
7154 SW 47TH ST # 7154-A, MIAMI, FL 33155-4664
(786) 533-0299
(786) 821-0248
Mailing address
7154 SW 47TH ST # 7154-A, MIAMI, FL 33155-4664
(786) 533-0299
(786) 821-0248
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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