Active NPI
Vital Pro Medical LLC
- Clinic/Center
- Tampa, FL
National Provider Identifier
1992653752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- VITAL PRO MEDICAL LLC
- Practice address
- 5352 N Habana Ave Ste C
Tampa, FL 33614-6838 - Phone
- (813) 563-8293
- Fax
- (813) 315-6362
- NPI assigned
- Mar 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lazaro Menendez Cepero
- Title
- Admin
- Phone
- (813) 563-8293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
5352 N Habana Ave Ste C
Tampa, FL 33614-6838
Mailing address
5352 N Habana Ave Ste C
Tampa, FL 33614-6838
Phone (813) 563-8293
National Provider Directory
National Provider DirectoryLocations
5352 N Habana Ave
Ste C
Tampa, FL 33614
Phone (813) 563-8293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1992653752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5352 N HABANA AVE STE C",
"city": "TAMPA",
"state": "FL",
"postal_code": "336146838",
"telephone_number": "813-563-8293",
"fax_number": "813-315-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5352 N HABANA AVE STE C",
"city": "TAMPA",
"state": "FL",
"postal_code": "336146838",
"telephone_number": "813-563-8293",
"fax_number": "813-315-6362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL PRO MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "MENENDEZ CEPERO",
"authorized_official_first_name": "LAZARO",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "813-563-8293"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.