VITA-HEALTH, INC. (NPI# 1073081188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073081188 |
| Entity Type | Organization |
| Organization Name | VITA-HEALTH, INC. |
| Practice Address |
12301 Taft St Ste 200 Pembroke Pines FL 33026-4387 |
| Practice Telephone | 9548800090 |
| Practice Fax Number | 3054210463 |
| Mailing Telephone | 9548800090 |
| Mailing Fax Number | 3054210463 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | DAVID BRIAN PAKULA (CFO) |
| Authorized Official Telephone | 9548800090 |
| Authorized Official Credential | AP, DOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vita-Health Acupuncture & Wellness Center | Doing Business As Name - Organization |
| Street Address |
12301 TAFT ST STE 200 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-4387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467740639 | Marie Michael Tippenhauer | Occupational Therapy Assistant | 12301 Taft St Ste 200, Pembroke Pines, FL 33026-4387 | 2011-07-21 |
| 1467974675 | Sara Quesada | Acupuncturist | 12301 Taft St Ste 200, Pembroke Pines, FL 33026-4387 | 2017-07-10 |
| 1073065108 | David Pakula | Acupuncturist | 12301 Taft St Ste 200, Pembroke Pines, FL 33026-4387 | 2016-10-24 |
| 1699154922 | Tamara Ellen Joseph | Speech-Language Pathologist | 12301 Taft St Ste 200, Pembroke Pines, FL 33026-4387 | 2015-05-19 |
| 1003202177 | Gisel Rodriguez | Occupational Therapist | 12301 Taft St Ste 200, Pembroke Pines, FL 33026-4387 | 2015-04-15 |
| 1568876969 | Allison Marie Purcaro | Speech-Language Pathologist | 12301 Taft St Ste 200, Pembroke Pines, FL 33026-4387 | 2014-06-13 |
| 1356628341 | Betsy Germain | Specialist/Technologist | 12301 Taft St Ste 200, Pembroke Pines, FL 33026-4387 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570629 | Generations Rehab Services, Inc | Clinic/Center | 10031 Pines Blvd Ste 217, Pembroke Pines, FL 33024-6169 | 2019-07-23 |
| 1477848406 | Pines Injury Center, Inc. | Clinic/Center | 14818 Pines Blvd, Pembroke Pines, FL 33027-1222 | 2011-06-17 |
| 1447779822 | Edge Medical Services Inc. | Clinic/Center | 1771 Nw 106th Ter, Pembroke Pines, FL 33026-2801 | 2017-09-17 |
| 1487006268 | Therapies 4 Kids, Inc. | Clinic/Center | 10261 Pines Blvd, Pembroke Pines, FL 33026-6008 | 2016-07-06 |
| 1447678099 | Path Medical Center Inc | Clinic/Center | 14818 Pines Blvd, Pembroke Pines, FL 33027-1222 | 2014-04-01 |
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| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.