Florida Mens Vitality Center INC

NPI #1598229536 in Bonita Springs, Florida

Provider Information

NPI Number: 1598229536
Entity Type: Organization
Organization Name: Florida Mens Vitality Center INC
Primary Specialty: General Practice
Enumeration Date: Jan 23, 2019
Last Updated: Jan 23, 2019

Practice Location

Address: 28901 TRAILS EDGE BLVD STE 202
City: Bonita Springs
State: Florida
ZIP Code: 34134-7588
Phone: (239) 220-1083

Authorized Official

Name: MR. PAUL JOSEPH DEJOHN JR.
Title: PRESIDENT
Phone: (239) 220-1083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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