| NPI | 1073055729 |
|---|---|
| Doing Business As | BIO VITA WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | YUNIOR BASULTO President 786-773-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |