Bio Vita Medical Center Llc.

NPI #1073055729 in Hialeah, Florida

Provider Information

NPI Number: 1073055729
Entity Type: Organization
Organization Name: Bio Vita Medical Center Llc.
Primary Specialty: Specialist
Enumeration Date: Nov 11, 2016
Last Updated: Nov 11, 2016

Practice Location

Address: 1490 W 49TH PL
Address 2: 401
City: Hialeah
State: Florida
ZIP Code: 33012-3148
Phone: (786) 733-5872

Authorized Official

Name: MR. YUNIOR BASULTO, OWNRE
Title: PRESIDENT
Phone: (786) 773-5872

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