MEDICAL VITALITY CLINIC LLC NPI 1043858012

NPI Information

MEDICAL VITALITY CLINIC LLC is an obstetrics gynecology in Fort Lauderdale, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MEDICAL VITALITY CLINIC LLC NPI is 1043858012. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1845 CORDOVA RD STE 204
FORT LAUDERDALE, FL
ZIP 33316-100
Phone: (954) 361-3343

The provider's authorized official is Patricia Anson .
The authorized official title is Delegated Offical and has the following contact phone number (305) 279-2276.

The enumeration date for this NPI number is 12/20/2019 and was last updated on 12/20/2019.

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:

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