Od Vitality LLC

NPI #1285459842 in Miami, Florida

Provider Information

NPI Number: 1285459842
Entity Type: Organization
Organization Name: Od Vitality LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Nov 19, 2024
Last Updated: Nov 19, 2024

Practice Location

Address: 2860 SW 133RD CT
City: Miami
State: Florida
ZIP Code: 33175-7133
Phone: (786) 447-2902

Authorized Official

Name: OBDELIS DOMINGUEZ
Title: NP
Phone: (786) 447-2902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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