Organization
VITALITY PALACE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MAZZEI MD (PRES)
(305) 728-9763
Entity
Organization
Contact information
Practice address
13028 SW 120 ST, SUITE 9, MIAMI, FL 33186
(305) 728-9763
Mailing address
13028 SW 120 ST, SUITE 9, MIAMI, FL 33186
(305) 728-9763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
03/06/2025
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