| Vital Care Medical Center, Inc. | |
|
2188 Jog Rd Greenacres FL 33415-6016 | |
| (561) 439-8050 | |
| (561) 439-0819 |
| Full Name | Vital Care Medical Center, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 2188 Jog Rd, Greenacres, Florida |
| Authorized Official Name and Position | Giovanna Shirley Gonalez (PRESIDENT) |
| Authorized Official Contact | 5614390850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Care Medical Center, Inc. 2188 Jog Road Greenacres FL 33415-2188 Ph: (561) 439-8050 | Vital Care Medical Center, Inc. 2188 Jog Rd Greenacres FL 33415-6016 Ph: (561) 439-8050 |
| NPI Number | 1346561388 |
|---|---|
| Provider Enumeration Date | 06/14/2010 |
| Last Update Date | 06/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346561388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | HCC6337 (Florida) | Primary |
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