Organization
VITALOGY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO ALFARO JR. (DIRECTOR/MEMBER)
(786) 452-9230
Entity
Organization
Contact information
Practice address
811 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-3007
(786) 452-9230
(786) 703-3745
Mailing address
811 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-3007
(786) 452-9230
(786) 703-3745
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUMB
0973
FL
Enumeration date
06/22/2021
Last updated
06/22/2021
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