Organization
VITALCARE FAMILY MEDICINE AND ANTI-AGING CLINIC, LLC
Active
Other names
VitalCare Family Medicine and Anti-Aging Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO LAZARO RODRIGUEZ BAEZ DHSC, RN (PRESIDENT)
(407) 405-5565
Entity
Organization
Contact information
Practice address
7951 RIVIERA BLVD STE 305, MIRAMAR, FL 33023-6437
(407) 405-5565
Mailing address
15404 SW 19TH ST, MIRAMAR, FL 33027-4302
(407) 405-5565
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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