Vital Radiance Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VITAL RADIANCE WELLNESS, LLC

Practice address

29 W Smith St
Winter Garden, FL 34787-3582

Phone

(407) 974-3500

NPI assigned

Sep 6, 2025

Organization subpart

No

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

Authorized official

Name

Christopher Wayne Luczywo

Title

Practice Manager

Phone

(407) 974-3500

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1306726658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W SMITH ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873582",
            "telephone_number": "407-974-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W SMITH ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873582",
            "telephone_number": "407-974-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL RADIANCE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "LUCZYWO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "407-974-3500"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.