Active NPI
VS Primo Health Care P a
- Family Medicine Physician
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VS PRIMO HEALTH CARE P A
- Practice address
- 840 Executive LN Ste 110
Rockledge, FL 32955-3519 - Phone
- (321) 751-7113
- Fax
- (321) 751-7114
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent Sciortino, MD
- Title
- Medical Doctor
- Phone
- (321) 751-7113
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Family Medicine Physician | 207Q00000X | FL | Primary |
Addresses
Primary practice location
840 Executive LN Ste 110
Rockledge, FL 32955-3519
Mailing address
840 Executive LN Ste 110
Rockledge, FL 32955-3519
Phone (321) 751-7113
Other practice location 1
7000 Spyglass Ct
Ste 130
Viera, FL 32940-7948
Phone (321) 751-7113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1049638 | VS Primo Health Care PA | Certificate of waiver | Jan 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
840 Executive Ln
Ste 110
Rockledge, FL 32955
Phone (321) 639-3130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rockledge, FL
- NPI 1245290840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631577600000",
"number": "1063547784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 EXECUTIVE LN STE 110",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553519",
"telephone_number": "321-751-7113",
"fax_number": "321-751-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 EXECUTIVE LN STE 110",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553519",
"telephone_number": "321-751-7113",
"fax_number": "321-751-7114"
}
],
"practiceLocations": [
{
"address_1": "7000 Spyglass Ct",
"address_2": "Ste 130",
"address_purpose": "LOCATION",
"city": "Viera",
"state": "FL",
"postal_code": "329407948",
"country_code": "US",
"telephone_number": "321-751-7113",
"fax_number": "321-751-7114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VS PRIMO HEALTH CARE P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2021-09-14",
"certification_date": "2020-08-24",
"status": "A",
"authorized_official_last_name": "SCIORTINO",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "321-751-7113",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.