| Organization Name: | VITAL CARE MEDICAL CENTER, INC. |
| NPI Number: | 1346561388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GIOVANNA SHIRLEY GONALEZ (PRESIDENT) |
| Mailing Address: | 2188 Jog Rd Greenacres |
| State: | FL US |
| Postal Code: | 334156016 |
| Phone Number: | 5614398050 |
| Fax Number: | 5614390819 |
| NPI Enumeration Date: | 06/14/2010 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HCC6337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |