| Vital Link FL | |
|
2855 N University Dr Ste 520 Coral Springs FL 33065-1410 | |
| (847) 774-7316 | |
| Not Available |
| Full Name | Vital Link FL |
|---|---|
| Speciality | Clinic/Center |
| Location | 2855 N University Dr Ste 520, Coral Springs, Florida |
| Authorized Official Name and Position | Emanuel Atkin (MANAGEMENT) |
| Authorized Official Contact | 8477747316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Link FL 6201 W Howard St Ste 207 Niles IL 60714-3435 | Vital Link FL 2855 N University Dr Ste 520 Coral Springs FL 33065-1410 Ph: (847) 774-7316 |
| NPI Number | 1629889548 |
|---|---|
| Provider Enumeration Date | 01/20/2025 |
| Last Update Date | 01/20/2025 |
| Certification Date | 01/19/2025 |
| Medicare PECOS PAC ID | 4183126188 |
|---|---|
| Medicare Enrollment ID | O20250909000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629889548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Provider Name | Benjamin Neuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212009 PECOS PAC ID: 2365846466 Enrollment ID: I20210811004074 |
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