Organization Active NPI

Vital Link FL

  • Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1629889548
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VITAL LINK FL
Practice address
2855 N University Dr Ste 520
Coral Springs, FL 33065-1410
Phone
(847) 774-7316
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Emanuel Atkin
Title
Management
Phone
(847) 774-7316

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2855 N University Dr Ste 520
Coral Springs, FL 33065-1410

Mailing address

6201 W Howard St Ste 207
Niles, IL 60714-3435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909000212 FL Part B Supplier - Clinic/Group Practice 4183126188 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

2855 N University Dr
Ste 520
Coral Springs, FL 33065
Phone (847) 774-7316

6201 W Howard St
Ste 207
Niles, IL 60714
Phone (786) 897-7407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1629889548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W HOWARD ST STE 207",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 520",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651410",
            "telephone_number": "847-774-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINK FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "847-774-7316"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.