Graduated: 2004
NPI: 1528298312
Practice Locations (2)
VITALMD GROUP HOLDING LLC
45 W 17TH ST
HIALEAH, FL 330103023
3058848891
VITALMD GROUP HOLDING LLC
3225 AVIATION AVE, SUITE 700
MIAMI, FL 331334741
3052734641
Source: CMS National Downloadable File, September 2026.