Vital Eagles Health Care Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VITAL EAGLES HEALTH CARE INC

Practice address

13021 W Linebaugh Ave Ste 102
Tampa, FL 33626-4509

Phone

(813) 709-8567

Fax

(215) 642-8552

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Arlenia Paulino, AUTHORIZED SIGNERNPI 1992470983

Title

Owner/President

Phone

(215) 205-2229

Specialties & licenses 2

Addresses

Other names 1

• Vital Eagles Healthcare Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Arlenia Paulino

  • Adult Companion
  • Tampa, FL
  • NPI 1992470983
  NPD Authorized official
• Thomas Alexander Lekavich, PA

  • Medical Physician Assistant
  • Tampa, FL
  • NPI 1063465623
  NPD
• Michael D Boehm, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Fort Gordon, GA
  • NPI 1750300141
  NPD (past)

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1225610967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13021 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264509",
            "telephone_number": "813-709-8567",
            "fax_number": "215-642-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264509",
            "telephone_number": "813-709-8567",
            "fax_number": "215-642-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL EAGLES HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "PAULINO",
        "authorized_official_first_name": "ARLENIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-205-2229",
        "authorized_official_credential": "AUTHORIZED SIGNER"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Eagles Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neena Viswanathan
• Nathan I Visweshwar, M.D.
• Vita Healthcare LLC
• Gary A. Vitacco-Robles, LMHC, NCC
• Vital Care Rehab LLC
• Vital Link Healthcare, P.C.
• Vital Pro Medical LLC
• Vital Route, LLC
• Vitalcare Medical Spa
• Vitalitans LLC

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.