Graduated: 1999
NPI: 1285684753
Practice Locations (2)
VITALMD GROUP HOLDING LLC
3225 AVIATION AVE, SUITE 700
MIAMI, FL 331334741
3052734641
VITALMD GROUP HOLDING LLC
12600 PEMBROKE RD
MIRAMAR, FL 330272544
Source: CMS National Downloadable File, September 2026.