| NPI | 1467129304 |
|---|---|
| Doing Business As | RENEWED VITAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROSELINE RAPHAEL CEO/Nurse Practitioner 954-866-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-05-19 |