Vital Care DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VITAL CARE DME LLC

Practice address

119 Tidal Beach Ave
St Augustine, FL 32095-0147

Phone

(407) 766-4211

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Faiz Ahmad Faiz, CEO

Title

MGR

Phone

(407) 766-4211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1639989551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TIDAL BEACH AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320950147",
            "telephone_number": "407-766-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TIDAL BEACH AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320950147",
            "telephone_number": "407-766-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "FAIZ",
        "authorized_official_first_name": "FAIZ",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-766-4211",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.