Healthcare Provider Details

I. General information

NPI: 1285568212
Provider Name (Legal Business Name): VEITIA HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 HAGEN RANCH RD STE D730
BOYNTON BEACH FL
33437-3725
US

IV. Provider business mailing address

10301 HAGEN RANCH RD STE D730
BOYNTON BEACH FL
33437-3725
US

V. Phone/Fax

Practice location:
  • Phone: 561-423-1325
  • Fax: 561-760-4418
Mailing address:
  • Phone: 561-423-1325
  • Fax: 561-760-4418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LISLIE LISETE GONZALEZ VEITIA
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 305-726-7880