NPIMap

Organization Active NPI

Vip Health Assistance LLC

Doing business as Vip Walk in Clinic

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1033502182
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIP HEALTH ASSISTANCE LLC
Doing business as
Vip Walk in Clinic
Practice address
12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone
(407) 730-9911
Fax
(407) 768-1479
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cristina F Faria
Title
Ceo
Phone
(407) 730-9911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802

Mailing address

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone (407) 730-9911

Other names 1

  • VIP WALK IN CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211105000709 FL Part B Supplier - Clinic/Group Practice 3678962008 Receives reassigned benefits from 5 practitioners
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2093677Vip Walk in Clinic12139 S Apopka Vineland Rd, Orlando, FL 32836Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Locations

8552 Palm Pkwy
Orlando, FL 32836
Phone (407) 730-9911

12139 S Apopka Vineland Rd
Orlando, FL 32836
Phone (407) 535-1313

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1033502182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366802",
            "telephone_number": "407-730-9911",
            "fax_number": "407-768-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366802",
            "telephone_number": "407-730-9911",
            "fax_number": "407-768-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP HEALTH ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "FARIA",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-730-9911"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP WALK IN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIP WALK IN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.