Active NPI
Vitality Palace Corp
- Clinic/Center
- Miami, FL
National Provider Identifier
1568298636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.