| Vita Magic Llc | |
|
7400 Sw 139th Ter Palmetto Bay FL 33158-1228 | |
| (786) 294-3483 | |
| Not Available |
| Full Name | Vita Magic Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7400 Sw 139th Ter, Palmetto Bay, Florida |
| Authorized Official Name and Position | Yamilet Gonzalez Lastre (PRESIDENT) |
| Authorized Official Contact | 7862943483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Magic Llc 7400 Sw 139th Ter Palmetto Bay FL 33158-1228 Ph: (786) 294-3483 | Vita Magic Llc 7400 Sw 139th Ter Palmetto Bay FL 33158-1228 Ph: (786) 294-3483 |
| NPI Number | 1790493500 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790493500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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