Vitality Integrated Medical Network Llc
Gastroenterology Physician in Vero Beach, FL(View on Map)
Legal Business Name
Vitality Integrated Medical Network Llc
NPI Number
1366136814
NPI Type
Organization
Enumeration Date
06/07/2023
Specialties
(Taxonomies)Name
Code
207RG0100X
363LF0000X
261QI0500X
207RR0500X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 8929
275 18TH ST STE 102
City
Coral Springs
Vero Beach
State
FL
FL
Postal Code
33075-8929
32960-0824
Country
US
US
Telephone Number
N/A
(772) 562-6818
Authorized Official
Name
Allen Licht
Title or Position
MANAGING DIRECTOR
Telephone Number
(954) 906-9536
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/02/2024
Provider Address
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