| Vital Image Med Spa And Anti-aging | |
|
900 Glades Rd 2nd Floor Boca Raton FL 33431-6421 | |
| (561) 392-0034 | |
| (800) 928-7109 |
| Full Name | Vital Image Med Spa And Anti-aging |
|---|---|
| Speciality | Clinic/center |
| Location | 900 Glades Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Angel M. Garcia (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5613920034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Image Med Spa And Anti-aging 900 Glades Rd 2nd Floor Boca Raton FL 33431-6421 Ph: (561) 392-0034 | Vital Image Med Spa And Anti-aging 900 Glades Rd 2nd Floor Boca Raton FL 33431-6421 Ph: (561) 392-0034 |
| NPI Number | 1578702411 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578702411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME42709 (Florida) | Primary |
| 261QP2300X | Clinic/center - Primary Care | ME42709 (Florida) | Secondary |
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