Organization Active NPI

Vitality Palace Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1568298636
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VITALITY PALACE CORP
Practice address
13028 SW 120 St
Suite 9
Miami, FL 33186
Phone
(305) 728-9763
NPI assigned
Sep 13, 2024
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Mazzei, MD
Title
Pres
Phone
(305) 728-9763

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13028 SW 120 St
Suite 9
Miami, FL 33186

Mailing address

13028 SW 120 St
Suite 9
Miami, FL 33186
Phone (305) 728-9763

National Provider Directory

National Provider Directory

Locations

10200 SW 183rd St
#10208
Miami, FL 33157

13028 SW 120th St
Ste 9
Miami, FL 33186
Phone (305) 728-9763

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1568298636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13028 SW 120 ST",
            "address_2": "SUITE 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-728-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13028 SW 120 ST",
            "address_2": "SUITE 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-728-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PALACE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-03-06",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-728-9763",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.