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VITALMD GROUP HOLDING LLC NPI 1871572032


NPI Information

NPI: 1871572032
Provider Name: VITALMD GROUP HOLDING LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3225 AVIATION AVE
SUITE #700
MIAMI, FL
ZIP 33133
Phone: (305) 273-4641
Get Directions

VITALMD GROUP HOLDING LLC is an obstetrics gynecology in Miami, 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. VITALMD GROUP HOLDING LLC NPI is 1871572032. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3225 AVIATION AVE
SUITE #700
MIAMI, FL
ZIP 33133-741
Phone: (305) 273-4641
Fax: (305) 273-1497

The provider's authorized official is Francisco J Leon .
The authorized official title is Executive Director and has the following contact phone number (305) 273-4641.

The enumeration date for this NPI number is 1/16/2006 and was last updated on 12/23/2013.


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
1208000000XPediatricsFLORIDANo
2207VX0201XObstetrics & GynecologyGynecologic OncologyNo
32085R0202XRadiologyDiagnostic RadiologyNo
4207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
5208800000XUrologyNo
6208600000XSurgeryNo
7207R00000XInternal MedicineNo
8207Q00000XFamily MedicineNo
9208C00000XColon & Rectal SurgeryNo
10207N00000XDermatologyNo
11207VE0102XObstetrics & GynecologyReproductive EndocrinologyNo
12207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
13207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
14207RI0200XInternal MedicineInfectious DiseaseNo
15207V00000XObstetrics & GynecologyYes

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
1269024100MEDICAIDFLORIDA
2K5219MEDICARE PINFLORIDA
333217OTHERFLORIDABCBS

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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