Organization
VITAL LIFE VIRTUAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL NURIEL D.O (PRESIDENT/OWNER)
(321) 235-0692
Entity
Organization
Contact information
Practice address
2511 W CHURCH ST, ORLANDO, FL 32805-2329
(321) 235-0692
Mailing address
2511 W CHURCH ST, ORLANDO, FL 32805-2329
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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