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VITAL MEDICAL CENTER INC NPI 1457314064


NPI Information

NPI: 1457314064
Provider Name: VITAL MEDICAL CENTER INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D2290824

Address:
8300 WEST FLASLER STREET
SUITE #175
MIAMI, FL
ZIP 33144
Phone: (305) 220-0300
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VITAL MEDICAL CENTER INC is a specialist in Miami, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VITAL MEDICAL CENTER INC NPI is 1457314064. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8300 WEST FLASLER STREET
SUITE #175
MIAMI, FL
ZIP 33144-098
Phone: (305) 220-0300
Fax: (305) 220-1472

The provider's authorized official is Fernando Jose Lora .
The authorized official title is Md and has the following contact phone number (305) 220-0300.

The CLIA number assigned to this NPI record is 10D2290824 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/29/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME0045837FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1042148100MEDICAIDFLORIDA
2D64077MEDICARE UPIN
30125792OTHERAETNA
472690MEDICARE PINFLORIDA
596904OTHERFLORIDABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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