Organization
VITADRIPZ WELLNESS AND RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KNEISHA MEANS RN (OWNER)
(352) 727-1398
Entity
Organization
Contact information
Practice address
11882 CEDAR DR, BROOKER, FL 32622-3047
(352) 727-1398
Mailing address
11882 CEDAR DR, BROOKER, FL 32622-3047
(352) 727-1398
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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