Organization Active NPI

Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1871572032
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VITALMD GROUP HOLDING LLC
Practice address
3225 Aviation Ave
Suite #700
Miami, FL 33133-4741
Phone
(305) 273-4641
Fax
(305) 273-1497
NPI assigned
Jan 16, 2006
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Javier VizosoNPI 1306954060
Title
President
Phone
(305) 273-4641

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Infectious Disease Physician 207RI0200X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary
Reproductive Endocrinology Physician 207VE0102X NU
Maternal & Fetal Medicine Physician 207VM0101X NU
Gynecologic Oncology Physician 207VX0201X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU
Pediatrics Physician 208000000X FL
Diagnostic Radiology Physician 2085R0202X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
Colon & Rectal Surgery Physician 208C00000X NU

Addresses

Primary practice location

3225 Aviation Ave
Suite #700
Miami, FL 33133-4741

Mailing address

PO Box 850001
Dept 8542
Orlando, FL 32885-8576
Phone (305) 273-4641

Other identifiers 2

IdentifierTypeStateIssuer
269024100MedicaidFL
33217OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001878 FL Part B Supplier - Clinic/Group Practice 8921091786 Receives reassigned benefits from 734 practitioners

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 126)

1145 Kane Concourse
Bay Harbor Islands, FL 33154
Phone (305) 865-5439

1001 NW 13th St
Boca Raton, FL 33486
Phone (561) 300-0600

1001 NW 13th St
Ste 101A
Boca Raton, FL 33486
Phone (561) 300-0600

1050 NW 15th St
Ste 215
Boca Raton, FL 33486
Phone (561) 338-3883

2240 NW 19th St
Ste 701
Boca Raton, FL 33431
Phone (561) 361-7872

2500 N Military Trl
Ste 111
Boca Raton, FL 33431
Phone (561) 218-0767

660 Glades Rd
Ste 320
Boca Raton, FL 33431
Phone (305) 546-8090

6859 SW 18th St
Ste 200
Boca Raton, FL 33433
Phone (561) 368-3775

801 Meadows Rd
Ste 105
Boca Raton, FL 33486
Phone (561) 392-2020

9325 Glades Rd
Ste 202
Boca Raton, FL 33434
Phone (561) 869-6800

9325 Glades Rd
Ste 206
Boca Raton, FL 33434
Phone (561) 488-5015

9801 Glades Rd
Boca Raton, FL 33434
Phone (561) 487-9912

9960 Central Park Blvd N
Ste 300
Boca Raton, FL 33428
Phone (561) 430-3933

9960 Central Park Blvd N
Ste 335
Boca Raton, FL 33428
Phone (561) 417-8788

9970 Central Park Blvd N
Ste 403
Boca Raton, FL 33428
Phone (561) 479-2600

8756 Boynton Beach Blvd
Ste 2400
Boynton Beach, FL 33472
Phone (561) 479-2600

135 San Lorenzo Ave
Ste 550
Coral Gables, FL 33146
Phone (305) 665-8188

358 San Lorenzo Ave
Ste 3230
Coral Gables, FL 33146
Phone (305) 444-6882

4425 Ponce de Leon Blvd
Ste 115
Coral Gables, FL 33146
Phone (305) 667-3152

1725 N University Dr
Ste 440
Coral Springs, FL 33071
Phone (954) 752-1020

1801 N University Dr
Ste 201
Coral Springs, FL 33071
Phone (954) 755-1300

3111 N University Dr
Ste 308
Coral Springs, FL 33065
Phone (941) 586-4323

5695 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 755-1411

7451 Wiles Rd
Ste 106
Coral Springs, FL 33067
Phone (954) 345-1117

8880 Royal Palm Blvd
Ste 100
Coral Springs, FL 33065
Phone 9547532411 ext. 238

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: ashleyceithaml@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: baileybunnell@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: erikaglas@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: karleymonberg@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: kendragillespie@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: leahbell@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: martingarcia@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: michellebuoye@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: mollyturner@gaobgynllc.allscriptsdirect.net
  • Direct secure messaging: tiffanywells@gaobgynllc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1,012

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.

View all 1,012

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1871572032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "address_2": "DEPT 8542",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328858576",
            "telephone_number": "305-273-4641",
            "fax_number": "305-273-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 AVIATION AVE",
            "address_2": "SUITE #700",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334741",
            "telephone_number": "305-273-4641",
            "fax_number": "305-273-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALMD GROUP HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "VIZOSO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-273-4641"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269024100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33217",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.