| NPI | 1326230343 |
|---|---|
| Doing Business As | PROVITA HEALTH |
| Entity Type | Organization |
| Authorized Contact | ELVIRA PASMANIK President 443-739-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0059228) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-02-24 |