Organization
VITAL HEALTH CONCIERGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA MADHAVAN APRN (CO-OWNER/APRN)
(813) 545-0133
Entity
Organization
Contact information
Practice address
325 S PARSONS AVE, BRANDON, FL 33511-5228
(813) 397-6779
Mailing address
15418 FIRE ROCK PL, RUSKIN, FL 33573-0196
(813) 545-0133
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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