Provider Demographics
NPI:1912706102
Name:VITALIA MEDICAL CENTERS LLC
Entity type:Organization
Organization Name:VITALIA MEDICAL CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SURELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCERIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-514-0848
Mailing Address - Street 1:1287 N SEMORAN BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3530
Mailing Address - Country:US
Mailing Address - Phone:407-567-7244
Mailing Address - Fax:
Practice Address - Street 1:1287 N SEMORAN BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3530
Practice Address - Country:US
Practice Address - Phone:407-567-7244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty