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 Clinic/Center (Licence: FL ME42709) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME42709) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2009-02-17 |