Provider Demographics
NPI:1841166071
Name:VITAL HEALTH SOLUTIONS PLLC
Entity type:Organization
Organization Name:VITAL HEALTH SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-329-9229
Mailing Address - Street 1:624 EXECUTIVE PARK CT STE 1024A
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-6074
Mailing Address - Country:US
Mailing Address - Phone:407-329-9229
Mailing Address - Fax:407-264-6008
Practice Address - Street 1:624 EXECUTIVE PARK CT STE 1024A
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6074
Practice Address - Country:US
Practice Address - Phone:407-329-9229
Practice Address - Fax:407-264-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty