Graduated: 1997
NPI: 1902126535
Practice Locations (2)
VITALMD GROUP HOLDING LLC
915 MIDDLE RIVER DR, SUITE 305
FORT LAUDERDALE, FL 333043560
9547723960
VITALMD GROUP HOLDING LLC
3225 AVIATION AVE, SUITE 700
MIAMI, FL 331334741
3052734641
Source: CMS National Downloadable File, September 2026.