Provider Demographics
NPI:1558761478
Name:VITA HEALTHCARE LLC
Entity Type:Organization
Organization Name:VITA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:NONATA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CALCINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-468-6504
Mailing Address - Street 1:4021 N ARMENIA AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1009
Mailing Address - Country:US
Mailing Address - Phone:813-468-6504
Mailing Address - Fax:
Practice Address - Street 1:4021 N ARMENIA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1009
Practice Address - Country:US
Practice Address - Phone:813-215-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies