Provider Demographics
NPI:1619631579
Name:ROOT CAUSE HEALTH LLC
Entity Type:Organization
Organization Name:ROOT CAUSE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:VITEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-955-6595
Mailing Address - Street 1:1111 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2452
Mailing Address - Country:US
Mailing Address - Phone:301-955-6595
Mailing Address - Fax:
Practice Address - Street 1:75 SPEICHER DR
Practice Address - Street 2:
Practice Address - City:ACCIDENT
Practice Address - State:MD
Practice Address - Zip Code:21520-2174
Practice Address - Country:US
Practice Address - Phone:301-955-6595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date: