Vital Spine Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10572 Issued in FL

Legal business name

VITAL SPINE CENTER, INC.

Practice address

4063 N Goldenrod Rd Ste 1
Winter Park, FL 32792-8905

Phone

(407) 960-3902

Fax

(407) 960-1745

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahitsha Ortiz, DC

Title

President

Phone

(407) 960-3902

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1316448715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD STE 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928905",
            "telephone_number": "407-960-3902",
            "fax_number": "407-960-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 N GOLDENROD RD STE 1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928905",
            "telephone_number": "407-960-3902",
            "fax_number": "407-960-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "AHITSHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-960-3902",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649536426",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manjit Juneja Virdi, M.D.
• Alex Vis
• Nicholas Viscuso
• Visionworks Inc (Visionworks)
• Vista Psychological Services, PA
• Vitas Innovative Hospice Care
• Vivere-Winter Park Fertility Laboratory LLC (Vivere-Winter Park Fertility Laboratory)
• Alessia M Vivod, LMHC
• Alyce Vo, DMD
• Myhanh Vo

• Chiropractor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.