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NPI Code Detail

MEDICARE: VITAL URGENT CARE LLC

MEDICARE: VITAL URGENT CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center
2363LP2300XPrimary Care Nurse Practitioner
3208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1518732551
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITAL URGENT CARE LLC
Provider Business Mailing Address
First Line : 3528 I ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1449
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3528 I ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1449
Country : US
Telephone Number : 215-205-2229
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ARLENIA PAULINO
Credential :
Telephone Number : 215-205-2229
Provider Enumeration Date : 11/20/2023
Last Update Date : 02/02/2024

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Directions to “VITAL URGENT CARE LLC ” Practice Location

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