Healthcare Provider Details

I. General information

NPI: 1497683296
Provider Name (Legal Business Name): REALITY MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 NW 27TH AVE STE B3
MIAMI FL
33147-4910
US

IV. Provider business mailing address

7900 NW 27TH AVE STE B3
MIAMI FL
33147-4910
US

V. Phone/Fax

Practice location:
  • Phone: 786-253-7699
  • Fax: 305-938-0800
Mailing address:
  • Phone: 786-253-7699
  • Fax: 305-938-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VANDILLA MCCLENDON
Title or Position: PRESIDENT
Credential: SOCIAL WORKER
Phone: 786-253-7699