Healthcare Provider Details

I. General information

NPI: 1699699892
Provider Name (Legal Business Name): VIRTUS HEALTH FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 SE STATE ROAD 21
MELROSE FL
32666-5301
US

IV. Provider business mailing address

2550 SE STATE ROAD 21
MELROSE FL
32666-5301
US

V. Phone/Fax

Practice location:
  • Phone: 352-234-6956
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HAILEE BANKS
Title or Position: OWNER
Credential: MD
Phone: 786-338-8729