Organization
VITALGUARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JASS (MGR)
(352) 250-3579
Entity
Organization
Contact information
Practice address
25463 HAWKS RUN LN, SORRENTO, FL 32776-7736
(978) 698-4825
Mailing address
25463 HAWKS RUN LN, SORRENTO, FL 32776-7736
(978) 698-4825
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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