NPI 1356608772

Vitamedmd LLC

Organisation Non-Pharmacy Dispensing Site Boca Raton, FL

Practice location

Address: 951 Broken Sound Pkwy NW STE 320, Boca Raton, FL 33487-3531
Phone: (561) 961-1921
Fax: (561) 431-3389

Authorised official

Name: Mitchell Krassan
Title: Chief Strategy Officer
Phone: (561) 961-1921

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 1376866 (FL)

Other Non-Pharmacy Dispensing Site providers in Florida →

Registry record

NPI: 1356608772
Entity type: Organization
NPI issued: 23 Apr 2012
Record last updated: 23 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.