Organization
VITALITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ANTONIO SANTANA (PRESIDENT)
(786) 461-9959
Entity
Organization
Contact information
Practice address
8348 BIRD RD, MIAMI, FL 33155-3354
(305) 741-9565
(305) 397-1714
Mailing address
8950 SW 152ND ST, PALMETTO BAY, FL 33157-1901
(305) 741-9565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/03/2020
Last updated
01/26/2023
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