Organization
VITALITYSYNC SOLUTIONS MSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC JAVIER NIEVES SR. (MANAGER)
(407) 459-0785
Entity
Organization
Contact information
Practice address
258 E ALTAMONTE DR STE 2002, ALTAMONTE SPRINGS, FL 32701-4332
(407) 459-0785
(321) 280-3950
Mailing address
478 E ALTAMONTE DR STE 108, ALTAMONTE SPRINGS, FL 32701-4622
(407) 459-0785
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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