| Vital Physicians PLLC | |
|
623 Maitland Ave Ste 1101 Altamonte Springs FL 32701-6823 | |
| (407) 647-2009 | |
| (407) 660-2009 |
| Full Name | Vital Physicians PLLC |
|---|---|
| Speciality | General Practice |
| Location | 623 Maitland Ave Ste 1101, Altamonte Springs, Florida |
| Authorized Official Name and Position | Lissette Roach (CEO) |
| Authorized Official Contact | 4076472009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Physicians PLLC Po Box 941912 Maitland FL 32794-1912 Ph: (407) 647-2009 | Vital Physicians PLLC 623 Maitland Ave Ste 1101 Altamonte Springs FL 32701-6823 Ph: (407) 647-2009 |
| NPI Number | 1942900527 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942900527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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