Vital Sports And Wellness

LBN: Vital Rehabilitation Llc.
Vital Sports And Wellness is an health care organization with primary practice located at 3600 Peoria Rd Ste 203 , Orange Park FL 32065-7686. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is the primary health care specialty. Vital Rehabilitation Llc. can be contacted via phone (904) 657-0089, or through Justice, Jennifer Amanda via phone (904) 657-0089.

Contact Information

Primary practice address
3600 Peoria Rd Ste 203 Orange Park FL 32065-7686
Phone: (904) 657-0089
Fax: (904) 560-5283
Website:
Map and Directions
Authorized official contact:
Name: Justice, Jennifer Amanda DPT, SCS
Phone: (904) 657-0089

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1639576093
LBN Legal business name Vital Rehabilitation Llc.
DBA Doing business as Vital Sports And Wellness
Authorized official Justice, Jennifer Amanda DPT, SCS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2014
Last updated Jan 31st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639576093 NPPES
Florida Other MA38374 MASSAGE THERAPY

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