Organization
VITAL PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIELS MOLEIRO (CFO)
(786) 340-0260
Entity
Organization
Contact information
Practice address
12640 WORLD PLAZA LN BLDG 71, FORT MYERS, FL 33907-3987
(786) 340-0260
Mailing address
12640 WORLD PLAZA LN BLDG 71, FORT MYERS, FL 33907-3987
(786) 340-0260
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
02/27/2025
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