Organization Active NPI

Vitalitans LLC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
National Provider Identifier
1427875145
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
Legal business name
VITALITANS LLC
Practice address
2715 W Sligh Ave
Tampa, FL 33614-4343
Phone
(813) 403-2567
NPI assigned
Sep 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Anisley Lanza Diaz, RN
Title
President
Phone
(813) 403-2567

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X Primary
Surgery Physician 208600000X
Multi-Specialty Clinic/Center 261QM1300X
Rehabilitation Clinic/Center 261QR0400X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2715 W Sligh Ave
Tampa, FL 33614-4343

Mailing address

8809 W Hamilton Ave
Tampa, FL 33615-2723
Phone (813) 403-2567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1427875145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 W HAMILTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152723",
            "telephone_number": "813-403-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W SLIGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144343",
            "telephone_number": "813-403-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "LANZA DIAZ",
        "authorized_official_first_name": "ANISLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-403-2567",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.