NPI | 1720971328 |
---|---|
Doing Business As | VITALLY DOC INTEGRATIVE MEDICINE |
Entity Type | Organization |
Authorized Contact | MAYELIN CARPIO CEO 239-842-6816 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2025-06-02 |
Last Update Date | 2025-06-05 |