Organization
VITAL CARE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNA SHIRLEY GONALEZ (PRESIDENT)
(561) 439-0850
Entity
Organization
Contact information
Practice address
2188 JOG RD, GREENACRES, FL 33415-6016
(561) 439-8050
(561) 439-0819
Mailing address
2188 JOG ROAD, GREENACRES, FL 33415-2188
(561) 439-8050
(561) 439-0819
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC6337
FL
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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