Organization
VITA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBETTY PAEZ (OWNER)
(786) 219-7540
Entity
Organization
Contact information
Practice address
13028 SW 120TH ST FL 1, MIAMI, FL 33186-4522
(786) 592-2785
(786) 592-1476
Mailing address
13028 SW 120TH ST FL 1, MIAMI, FL 33186-4522
(786) 592-2785
(786) 592-1476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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