Organization
VITAL HEALTH DIAGNOSTICS & SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LYNN RILEY RRT (RRT/CEO)
(253) 441-1071
Entity
Organization
Contact information
Practice address
3203 LAGO VISTA DR, GREEN COVE SPRINGS, FL 32043-8793
(253) 441-1071
Mailing address
3203 LAGO VISTA DR, GREEN COVE SPRINGS, FL 32043-8793
(253) 441-1071
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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