Vitalgenix Health & Wellness, LLC

NPI #1427428887 in Lake Mary, Florida

Provider Information

NPI Number: 1427428887
Entity Type: Organization
Organization Name: Vitalgenix Health & Wellness, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 29, 2015
Last Updated: Sep 29, 2015

Practice Location

Address: 1325 S INTERNATIONAL PKWY
Address 2: SUITE 2241
City: Lake Mary
State: Florida
ZIP Code: 32746-1695
Phone: (407) 636-9663

Authorized Official

Name: DR. RAUL ENRIQUE TAMAYO, M.D.
Title: OWNER
Phone: (407) 636-9663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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