Healthcare Provider Details

I. General information

NPI: 1912706102
Provider Name (Legal Business Name): VITALIA MEDICAL CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 N SEMORAN BLVD STE 300
ORLANDO FL
32807-3530
US

IV. Provider business mailing address

1287 N SEMORAN BLVD STE 300
ORLANDO FL
32807-3530
US

V. Phone/Fax

Practice location:
  • Phone: 407-567-7244
  • Fax:
Mailing address:
  • Phone: 407-567-7244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SURELYS SALCERIO
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 786-514-0848