Organization Active NPI

Vita Rehab Medical Center LLC

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1528876224
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITA REHAB MEDICAL CENTER LLC
Practice address
111 E Monument Ave Unit 604
Kissimmee, FL 34741-5784
Phone
(407) 910-4150
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Eduardo ComasNPI 1033582812
Title
Owner
Phone
(407) 910-4150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

111 E Monument Ave Unit 604
Kissimmee, FL 34741-5784

Mailing address

111 E Monument Ave Unit 604
Kissimmee, FL 34741-5784
Phone (407) 910-4150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251018000167 FL Part B Supplier - Clinic/Group Practice 0840788279 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimee, FL

National Provider Directory

National Provider Directory

Locations

111 E Monument Ave
Unit 604
Kissimmee, FL 34741
Phone (407) 910-4150

3302 Greenwald Way N
Kissimmee, FL 34741
Phone (407) 293-5944

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1528876224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MONUMENT AVE UNIT 604",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415784",
            "telephone_number": "407-910-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MONUMENT AVE UNIT 604",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415784",
            "telephone_number": "407-910-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA REHAB MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "COMAS",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-910-4150"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.