Healthcare Provider Details

I. General information

NPI: 1770218554
Provider Name (Legal Business Name): VYTALYZE MINDS CORP D/B/A VERTEX HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W 84TH ST STE 601
HIALEAH FL
33016-5780
US

IV. Provider business mailing address

2300 W 84TH ST STE 601
HIALEAH FL
33016-5780
US

V. Phone/Fax

Practice location:
  • Phone: 305-363-4001
  • Fax: 305-363-4002
Mailing address:
  • Phone: 305-363-4001
  • Fax: 305-363-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: OSVALDO LEON HERRERA
Title or Position: OFFICER
Credential:
Phone: 305-363-4001