| Vital Spine And Health Studio, Llc | |
|
12484 Sw 127th Ave, Miami, FL 33186-6597 | |
| (786) 701-8353 | |
| Not Available |
| Full Name | Vital Spine And Health Studio, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 12484 Sw 127th Ave, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194451807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Megan Gomez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851997415 PECOS PAC ID: 1759766249 Enrollment ID: I20220920001630 |
| Provider Name | Justin Alexis Sujo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295313542 PECOS PAC ID: 3577948066 Enrollment ID: I20220922001141 |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Spine And Health Studio, Llc 12484 Sw 127th Ave, Miami, FL 33186-6597 Ph: (786) 701-8353 | Vital Spine And Health Studio, Llc 12484 Sw 127th Ave, Miami, FL 33186-6597 Ph: (786) 701-8353 |
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