Healthcare Provider Details

I. General information

NPI: 1376867846
Provider Name (Legal Business Name): VITAL SIGNS PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2010
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 SANDLAKE COMMONS BLVD STE 2229
ORLANDO FL
32819-8031
US

IV. Provider business mailing address

8763 VIA BELLA NOTTE
ORLANDO FL
32836-7711
US

V. Phone/Fax

Practice location:
  • Phone: 407-351-0108
  • Fax: 407-351-0158
Mailing address:
  • Phone: 407-625-6153
  • Fax: 407-475-1077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberARNP29988912
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberARNP29988912
License Number StateFL

VIII. Authorized Official

Name: DR. SYED A AHMED
Title or Position: DIRECTOR
Credential: MD
Phone: 407-625-6153