Graduated: 1992
NPI: 1881666907
Practice Locations (2)
VITALMD GROUP HOLDING LLC
4340 SHERIDAN ST, SUITE 202
HOLLYWOOD, FL 330213567
9549637080
VITALMD GROUP HOLDING LLC
3225 AVIATION AVE, SUITE 700
MIAMI, FL 331334741
3052734641
Source: CMS National Downloadable File, September 2026.