Active NPI
Vitalitans LLC
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
National Provider Identifier
1427875145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryNPI 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.