| Vital Psych Md Llc | |
|
66 W Flagler St Ste 900 Miami FL 33130-1807 | |
| (610) 306-2618 | |
| (949) 863-6470 |
| Full Name | Vital Psych Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 66 W Flagler St Ste 900, Miami, Florida |
| Authorized Official Name and Position | Kalvin Kapoor (OWNER) |
| Authorized Official Contact | 6103062618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Psych Md Llc 66 W Flagler St Ste 900 Miami FL 33130-1807 Ph: (610) 306-2618 | Vital Psych Md Llc 66 W Flagler St Ste 900 Miami FL 33130-1807 Ph: (610) 306-2618 |
| NPI Number | 1790418507 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Medicare PECOS PAC ID | 1658757430 |
|---|---|
| Medicare Enrollment ID | O20220930002487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790418507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kalvin Kapoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861829392 PECOS PAC ID: 2163788902 Enrollment ID: I20180130001502 |
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