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Contact Information

VITALITY PALACE CORP
13028 SW 120 ST
SUITE 9
MIAMI, FL33186
 Phone: 305-728-9763
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VITALITY PALACE CORP

NPI # 1568298636
LBN Legal business name VITALITY PALACE CORP
Authorized official WILLIAM MAZZEI - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2024
Last updated 03/06/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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