| Vitalmd Group Holding Llc | |
|
3225 Aviation Ave Fl 4 Miami FL 33133-4741 | |
| (305) 273-4641 | |
| (305) 631-7680 |
| Full Name | Vitalmd Group Holding Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3225 Aviation Ave Fl 4, Miami, Florida |
| Authorized Official Name and Position | Jessica Capote (MANAGED CARE DIRECTOR) |
| Authorized Official Contact | 3052734641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalmd Group Holding Llc 3225 Aviation Ave Fl 4 Miami FL 33133-4741 Ph: (305) 273-4641 | Vitalmd Group Holding Llc 3225 Aviation Ave Fl 4 Miami FL 33133-4741 Ph: (305) 273-4641 |
| NPI Number | 1043984941 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043984941 | NPI | - | NPPES |
| 269024100 | Medicaid | FL |
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