Bon Vitas Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BON VITAS MEDICAL LLC

Practice address

5979 Vineland Rd Ste 209
Orlando, FL 32819-7855

Phone

(407) 592-0949

NPI assigned

May 12, 2022

Last updated

May 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Ortiz Miranda, MDNPI 1295063089

Title

Ceo

Phone

(407) 592-0949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Melissa Ortiz Miranda, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1295063089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1750027660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 WATERLEIGH COVE DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879208",
            "telephone_number": "407-592-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197855",
            "telephone_number": "407-592-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON VITAS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "ORTIZ MIRANDA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-592-0949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Bolton
• Alexander Bolufer, MD
• Bomah Services Inc
• Michael Allan Bombka, M.A., LMHC
• Chandra S Bomma, MD
• Jianna Marie Bona, MD
• Lauren Diana Bonacci
• Yashira Bonano Perez
• De Lisa Bonaparte
• Jacqueline Bonavitacola

• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.