| NPI | 1578702411 |
|---|---|
| Doing Business As | VITAL IMAGE MED SPA AND ANTI-AGING |
| Entity Type | Organization |
| Authorized Contact | ANGEL M. GARCIA Medical Director 561-392-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL ME42709) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME42709) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |