Organization
VITAL LIFE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KOEING (CEO)
(305) 767-1556
Entity
Organization
Contact information
Practice address
13501 SW 136TH ST, SUITE 210, MIAMI, FL 33186-8319
(786) 732-2484
Mailing address
13501 SW 136TH ST, SUITE 210, MIAMI, FL 33186-8319
(786) 732-2484
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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