Organization
VITAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALKIEL NIETO (PRESIDENT)
(786) 401-7291
Entity
Organization
Contact information
Practice address
1401 SW 1ST ST STE 101, MIAMI, FL 33135-2212
(786) 401-7291
(305) 603-8782
Mailing address
1401 SW 1ST ST STE 101, MIAMI, FL 33135-2212
(786) 401-7291
(305) 603-8782
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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