NPIMap

Organization Active NPI

Vital Replenish

  • Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1124958624
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VITAL REPLENISH
Practice address
9900 W Sample Rd Ste 300
Coral Springs, FL 33065-4077
Phone
(954) 272-0062
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Roseline Raphael, APRNNPI 1801249552
Title
Owner
Phone
(754) 272-0062

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9900 W Sample Rd Ste 300
Coral Springs, FL 33065-4077

Mailing address

9900 W Sample Rd Ste 300
Coral Springs, FL 33065-4077
Phone (954) 272-0062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1124958624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 W SAMPLE RD STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654077",
            "telephone_number": "954-272-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W SAMPLE RD STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654077",
            "telephone_number": "954-272-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL REPLENISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-272-0062",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.