Vitality Health & Wellness LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME75290 Issued in FL

Legal business name

VITALITY HEALTH & WELLNESS LLC

Practice address

801 4TH Street
Miami Beach, FL 33139-6823

Phone

(305) 466-1100

Fax

(305) 466-1160

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melanie Schrader

Title

General Manager

Phone

(305) 466-1100

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1922488675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 4TH STREET",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396823",
            "telephone_number": "305-466-1100",
            "fax_number": "305-466-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 4TH STREET",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396823",
            "telephone_number": "305-466-1100",
            "fax_number": "305-466-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "305-466-1100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME75290",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "FL",
            "license": "ME75290",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME75290",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME75290",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME75290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Vine, DAVID VINE D.D.S.
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• Javier Ignacio Viquez Sr., FNP
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• Vitality NP Group LLC
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• Pablo H Vivas, MD
• Laura Doan Phuong Vovan, M.D.
• Ettore Vulcano, M.D.

• General Practice Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.