Organization
MEDIVITAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA BAEZ (OWNER)
(305) 764-9170
Entity
Organization
Contact information
Practice address
10550 NW 77TH CT STE 305, HIALEAH, FL 33016-2071
(786) 782-7738
(833) 523-2326
Mailing address
10540 NW 78TH ST APT 424, DORAL, FL 33178-6089
(305) 764-9170
(833) 523-2326
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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