Look up the most recent NPI and PECOS records

Vital Medical Group Inc

Clinic/Center

Ambulatory Health Care Facilities

1401 SW 1st St Ste 101, Miami, FL 33135-2212

PECOS Enrollment

Based on the most recent information from CMS, provider Vital Medical Group Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1790598472
Provider Type
Organization
Full Name
Vital Medical Group Inc

Subpart
No
Enumeration Date
1/28/2025
Last Updated
1/28/2025

Contact Information

Practice Location

1401 SW 1st St Ste 101, Miami, FL 33135-2212

(786) 401-7291

(305) 603-8782

Mailing Location

1401 SW 1st St Ste 101, Miami, FL 33135-2212

(786) 401-7291

(305) 603-8782

Authorized Official

Nieto, Malkiel (President)

(786) 401-7291

Provider Taxonomies

Code	Description	License
Code 261Q00000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Vital Medical Group Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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License

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