Organization
VITALITY INTEGRATED MEDICAL NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN LICHT (MANAGING DIRECTOR)
(954) 906-9536
Entity
Organization
Contact information
Practice address
275 18TH ST STE 102, VERO BEACH, FL 32960-0824
(772) 562-6818
(772) 299-3653
Mailing address
PO BOX 8929, CORAL SPRINGS, FL 33075-8929
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/07/2023
Last updated
02/02/2024
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