Organization
VITAL PRO MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO MENENDEZ CEPERO (ADMIN)
(813) 563-8293
Entity
Organization
Contact information
Practice address
5352 N HABANA AVE STE C, TAMPA, FL 33614-6838
(813) 563-8293
(813) 315-6362
Mailing address
5352 N HABANA AVE STE C, TAMPA, FL 33614-6838
(813) 563-8293
(813) 315-6362
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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