| 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 |