# VITAL CARE DME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639989551
- **Authorized official:** FAIZ AHMAD FAIZ CEO (MGR)
- **Authorized official phone:** (407) 766-4211

## Contact information

- **Practice address:** 119 TIDAL BEACH AVE, ST AUGUSTINE, FL 32095-0147
- **Practice address phone:** (407) 766-4211
- **Mailing address:** 119 TIDAL BEACH AVE, ST AUGUSTINE, FL 32095-0147
- **Mailing address phone:** (407) 766-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 01/13/2025