Vijuvia Life Centers, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIJUVIA LIFE CENTERS, LLC

Practice address

3000 N Orange Ave Ste C
Orlando, FL 32804-7613

Phone

(407) 252-7206

NPI assigned

Oct 30, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Cole

Title

Ceo

Phone

(407) 252-7206

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1538636378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N ORANGE AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047613",
            "telephone_number": "407-252-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ORANGE AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047613",
            "telephone_number": "407-252-7206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13940 N US Highway 441 Ste 703",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321598954",
            "country_code": "US",
            "telephone_number": "800-277-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIJUVIA LIFE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-252-7206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcole@vijuvia.com",
            "affiliation": "N",
            "address_1": "3000 N Orange Ave Ste D",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328047613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vigor Health Plus II, LLC
• Anita Vijapura
• Vijay Nair OD PA
• Janapriya Vijayakumar
• Reena Vijayamma Raveendran
• Isaac Vila Hernandez, FNP-C
• Maria J Vila, MPT
• Jason Vilar, PHARMD
• Mary Vilar, PSYD
• Natalie Vilar

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.